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Virginia rates for HCPCS T1016

Case management, each 15 minutes

Facilitymedian $9 · 10th–90th $6–$130%20%40%10th90th$9Professionalmedian $9 · 10th–90th $6–$380%50%10th90th$9$1.0$5.0$20.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.03 / $8.91 / $8.91
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $8.91 / $38.02
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $13.80 / $17.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $20.89 / $20.89
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.31 / $9.55 / $13.80
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $10.00 / $15.14