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Case Management

Wisconsin rates for HCPCS T1016

Case management, each 15 minutes

Rates data updated July 2026.

How much does Case Management cost?

$9.55

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $9.55 for this service. The price depends on where it is billed: about $9.55 from a physician practice, and about $9.55 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$9.55$9.55 to $13.49
FacilityA hospital or hospital-owned outpatient department$9.55$9.55 to $13.80

How much rates vary

Facilitymedian $10 · 10th to 90th $10 to $39Professionalmedian $10 · 10th to 90th $8 to $38
$1$2$5$10$20$50facility $10professional $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
$9.55
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$9.55
Typical High
$38.02
Cigna
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$38.90
Typical High
$61.66
Cigna
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$13.49
Typical High
$17.38
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$9.55
Median
$9.55
Typical High
$12.88
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$41.69
Typical High
$54.95
Medica
Setting
Facility
Modifier
Global
Typical Low
$9.33
Median
$9.55
Typical High
$13.80
Medica
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$10.00
Typical High
$30.20
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$70.79
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$9.55
Median
$9.55
Typical High
$12.88
Quartz
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
United
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$50.12
Typical High
$50.12

Where Wisconsin sits

The same service costs 3.3 times more in North Dakota than in Washington, DC. 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.

Wisconsin· 36th of 51

$9.55

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.