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Additional Care Management Time By Staff

Texas rates for HCPCS 99427

This service covers extra time each month, beyond an initial block already billed separately, that a doctor's clinical staff spends coordinating care for a patient managing a single ongoing health condition that puts them at significant risk of complications. The work is done under the supervision of the treating doctor and includes things like medication oversight, care planning, and communicating with other members of the care team. It does not involve a face-to-face visit.

Rates data updated July 2026.

Facilitymedian $43 · 10th–90th $29$1150%10%10th90th$43Professionalmedian $38 · 10th–90th $28$540%10%20%10th90th$38$20.0$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$38.02
Typical High
$56.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$38.02
Typical High
$51.29
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$52.48
Typical High
$56.23
BCBS
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$104.71
Typical High
$199.53
BCBS
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$38.02
Typical High
$52.48
Baylor Scott & White
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$58.88
Typical High
$89.13
Christus
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$33.11
Typical High
$52.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$47.86
Typical High
$74.13
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$218.78
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$302.00
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$38.90
Typical High
$57.54
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$61.66
Typical High
$89.13
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
Providence
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$38.90
Typical High
$56.23
Providence
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$47.86
Typical High
$75.86
United
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$58.88
Typical High
$1,258.93
United
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$45.71
Typical High
$70.79
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$72.44