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Extra Monthly Time Managing One Complex Condition

Alaska rates for HCPCS 99425

Covers further time a doctor or other qualified professional spends during a month managing a single serious, complex ongoing health problem: reviewing results, adjusting treatment, and coordinating with everyone else involved in that person's care. It is billed in addition to the main monthly management service.

Rates data updated October 2026.

How much does Extra Monthly Time Managing One Complex Condition cost?

$115

Typical negotiated rate. In Alaska, October 2026.

Insurers have agreed to pay about $115 for this service. The price depends on where it is billed: about $115 from a physician practice, and about $115 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$115$102 to $145
FacilityA hospital or hospital-owned outpatient department$115$102 to $148

How much rates vary

Facilitymedian $115 · 10th to 90th $89 to $166Professionalmedian $115 · 10th to 90th $63 to $170
$50$100$200facility $115professional $115

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
$102.33
Median
$102.33
Typical High
$114.82
Aetna
Setting
Professional
Modifier
None
Typical Low
$53.70
Median
$102.33
Typical High
$114.82
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$26.92
Median
$51.29
Typical High
$57.54
Cigna
Setting
Professional
Modifier
None
Typical Low
$54.95
Median
$141.25
Typical High
$208.93
Moda Health
Setting
Facility
Modifier
None
Typical Low
$102.33
Median
$114.82
Typical High
$165.96
Moda Health
Setting
Professional
Modifier
None
Typical Low
$57.54
Median
$102.33
Typical High
$114.82
Moda Health
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$28.84
Median
$51.29
Typical High
$57.54
Premera BCBS
Setting
Professional
Modifier
None
Typical Low
$144.54
Median
$144.54
Typical High
$169.82
Providence
Setting
Facility
Modifier
None
Typical Low
$89.13
Median
$117.49
Typical High
$165.96
Providence
Setting
Professional
Modifier
None
Typical Low
$54.95
Median
$79.43
Typical High
$158.49
United
Setting
Professional
Modifier
None
Typical Low
$134.90
Median
$162.18
Typical High
$186.21

Where Alaska sits

The same service costs 5.0 times more in Alaska than in Indiana. 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.

Alaska· 1st of 51

$115

AK $115IN $22.91

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.