Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for T1016. Full schedules include every locality, modifier, and age-band variant.
- Every code on all 51 published schedules
- Full-schedule CSV export and state network lists
- Email alerts when a state changes its rates
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Publishing states
21
Median % of Medicare
--
Rate range
$1.00 - $425.34
T1016 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arkansas | $11.37 | -- | -- | 2026 |
| Arizona | $21.86 | -- | -- | 2026 |
| California | $21.34 | -- | -- | 2026 |
| Connecticut | $15.56 | -- | -- | 2026 |
| Hawaii | $336.00 | -- | -- | 2025 |
| Indiana | $1.00* | -- | Required | 2026 |
| Minnesota | $12.88 | -- | Conditional | 2004 |
| Missouri | $5.35* | -- | Varies | 2019 |
| Mississippi | $26.83* | -- | -- | 2023 |
| Montana | $17.97* | -- | Not required | 2025 |
| North Carolina | $17.52 | -- | -- | 2025 |
| New Hampshire | $425.34* | -- | Varies | 2026 |
| New Jersey | $54.24 | -- | Required | 2026 |
| Nevada | $15.84 | -- | -- | 2025 |
| South Dakota | $16.88 | -- | -- | 2026 |
| Utah | $26.66* | -- | Not required | 2016 |
| Virginia | $367.31* | -- | -- | 2021 |
| Vermont | $12.50 | -- | Required | 2004 |
| Washington | $15.10 | -- | -- | 2026 |
| Wisconsin | $22.23* | -- | -- | 2023 |
| Wyoming | $22.70 | -- | -- | 2024 |
Published Medicaid fee-for-service schedule amounts, not a coverage or eligibility guarantee. Managed-care plan rates can differ. Where no prior-authorization flag is shown, the state does not publish one. Rows marked * are representative published variants or methodology-derived rates. "--" in the prior-auth column means the state publishes no PA flag.
Related state-specific services codes
- C1716 - Brachytherapy source, non-stranded, gold-198, per source
- C1717 - Brachytherapy source, non-stranded, high dose rate iridium-192, per source
- C1719 - Brachytherapy source, non-stranded, non-high dose rate iridium-192, per source
- C2616 - Brachytherapy source, non-stranded, yttrium-90, per source
- C2634 - Brachytherapy source, non-stranded, high activity, iodine-125, greater than 1.01 mci (nist), per source
- C2635 - Brachytherapy source, non-stranded, high activity, palladium-103, greater than 2.2 mci (nist), per source
- C2636 - Brachytherapy linear source, non-stranded, palladium-103, per 1 mm
- C2638 - Brachytherapy source, stranded, iodine-125, per source
All 19 codes from T1000 to T1999 or every state-specific services code by number.
Frequently asked questions
How much does Medicaid pay for T1016?
21 state Medicaid programs publish a fee-for-service rate for T1016 (case management, each 15 minutes), ranging from $1.00 in Indiana to $425.34 in New Hampshire. The full table on this page lists every publishing state's current rate.
Which state pays the most for T1016?
New Hampshire publishes the highest Medicaid rate for T1016 at $425.34. Indiana publishes the lowest at $1.00.
Does T1016 require prior authorization under Medicaid?
4 of the 21 publishing states flag T1016 as requiring prior authorization (always or conditionally) on their fee schedules. States without a flag publish no PA indicator for this code - that means "not published", not "no PA required".