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Case Management

West Virginia 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 West Virginia, July 2026.

Insurers have agreed to pay about $9.55 for this service. Most negotiated rates run $6.31 to $9.55.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $10 · 10th to 90th $10 to $65Professionalmedian $10 · 10th to 90th $1 to $10
$1.0$2.0$5.0$10.0$20.0$50.0facility $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. 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
Global
Typical Low
$9.55
Median
$9.55
Typical High
$9.55
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.66
Median
$9.55
Typical High
$9.55
Cigna
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
Cigna
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$14.45
Typical High
$14.45
United
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$10.00
Typical High
$10.00

Where West Virginia 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.

West Virginia $9.55 · 43rd 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.