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Case Management

Utah rates for HCPCS T1016

Case management, each 15 minutes

Rates data updated October 2026.

How much does Case Management cost?

$38.02

Typical physician fee. In Utah, October 2026.

Insurers have agreed to pay about $38.02 for this service. Most negotiated rates run $38.02 to $38.02.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $38 · 10th to 90th $38 to $38Professionalmedian $38 · 10th to 90th $30 to $38
$10$50$200$1K$5Kfacility $38professional $38

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$38.02
Median
$38.02
Typical High
$38.02
Aetna
Setting
Professional
Modifier
None
Typical Low
$38.02
Median
$38.02
Typical High
$38.02
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$5.75
Median
$5.75
Typical High
$5.75
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$3.80
Median
$3.80
Typical High
$3.80
Molina
Setting
Professional
Modifier
None
Typical Low
$23.44
Median
$30.20
Typical High
$44.67
Select Health
Setting
Facility
Modifier
None
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$5,011.87
Select Health
Setting
Professional
Modifier
None
Typical Low
$3,890.45
Median
$4,265.80
Typical High
$5,128.61
United
Setting
Professional
Modifier
None
Typical Low
$10.00
Median
$10.00
Typical High
$13.18

Where Utah sits

The same service costs 331.1 times more in New Jersey than in New York. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Utah· 7th of 51

$38.02

NJ $219NY $0.66

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.