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Case Management

Wisconsin rates for HCPCS T1016

Case management, each 15 minutes

Rates data updated October 2026.

How much does Case Management cost?

$9.33

Typical negotiated rate. In Wisconsin, October 2026.

Insurers have agreed to pay about $9.33 for this service. The price depends on where it is billed: about $9.33 from a physician practice, and about $33.11 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$9.33$9.33 to $13.80
FacilityA hospital or hospital-owned outpatient department$33.11$9.33 to $38.02

How much rates vary

Facilitymedian $33 · 10th to 90th $9 to $45Professionalmedian $9 · 10th to 90th $9 to $17
$10$20$50facility $33professional $9

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
$9.33
Median
$9.33
Typical High
$9.33
Aetna
Setting
Professional
Modifier
None
Typical Low
$9.33
Median
$9.33
Typical High
$9.55
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$1.41
Median
$1.41
Typical High
$1.45
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.93
Median
$0.93
Typical High
$0.95
Cigna
Setting
Facility
Modifier
None
Typical Low
$33.11
Median
$38.02
Typical High
$56.23
Cigna
Setting
Professional
Modifier
None
Typical Low
$13.49
Median
$13.80
Typical High
$17.38
DeanCare
Setting
Facility
Modifier
None
Typical Low
$9.55
Median
$9.55
Typical High
$9.55
DeanCare
Setting
Professional
Modifier
None
Typical Low
$35.48
Median
$35.48
Typical High
$41.69
Medica
Setting
Facility
Modifier
None
Typical Low
$9.55
Median
$9.55
Typical High
$9.55
Medica
Setting
Professional
Modifier
None
Typical Low
$10.00
Median
$10.00
Typical High
$30.20
Prevea360
Setting
Facility
Modifier
None
Typical Low
$9.55
Median
$9.55
Typical High
$9.55
United
Setting
Professional
Modifier
None
Typical Low
$10.00
Median
$10.00
Typical High
$30.20

Where Wisconsin 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.

Wisconsin· 39th of 51

$9.33

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.