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Case Management

Washington rates for HCPCS T1016

Case management, each 15 minutes

Rates data updated July 2026.

How much does Case Management cost?

$9.55

Typical physician fee. In Washington, July 2026.

Insurers have agreed to pay about $9.55 for this service. Most negotiated rates run $9.55 to $13.80.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $45 · 10th to 90th $10 to $45Professionalmedian $10 · 10th to 90th $6 to $38
$1.0$5.0$20.0$100.0facility $45professional $10

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$9.55
Median
$9.55
Typical High
$15.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$9.55
Typical High
$38.02
Cigna
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$14.13
Typical High
$17.78
Molina
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$12.59
Typical High
$25.12
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$44.67
Typical High
$44.67
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$44.67
Typical High
$52.48
United
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$10.00
Typical High
$21.88
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$1.07
Median
$1.07
Typical High
$1.07

Where Washington sits

The same service costs 3.3 times more in North Dakota than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Washington $9.55 · 21st of 51
ND $31.62DC $9.55

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.