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Complex Chronic Care Management, First Hour

Arizona rates for HCPCS 99487

This service covers the first hour, per month, of behind-the-scenes care coordination for a person with multiple serious, ongoing health conditions. Clinical staff spend this time each month organizing care between different providers, managing medications, and addressing complex needs that require significant medical decision-making, typically without the patient being present. It reflects a higher level of coordination than routine chronic condition management.

Rates data updated July 2026.

How much does Complex Chronic Care Management, First Hour cost?

$91.20

Typical negotiated rate. In Arizona, July 2026.

Insurers have agreed to pay about $91.20 for this service. The price depends on where it is billed: about $89.13 from a physician practice, and about $112 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$89.13$72.44 to $115
FacilityA hospital or hospital-owned outpatient department$112$81.28 to $178

How much rates vary

Facilitymedian $112 · 10th to 90th $69 to $380Professionalmedian $89 · 10th to 90th $62 to $151
$50$100$200$500facility $112professional $89

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$89.13
Typical High
$144.54
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$144.54
Median
$144.54
Typical High
$144.54
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$112.20
Typical High
$141.25
BCBS
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$323.59
Typical High
$630.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$93.33
Typical High
$331.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$93.33
Typical High
$177.83
Medica
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$102.33
Typical High
$154.88
Medica
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$125.89
Typical High
$831.76
United
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$102.33
Typical High
$177.83
United
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$89.13
Typical High
$169.82

Where Arizona sits

The same service costs 2.6 times more in Minnesota than in Delaware. 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.

Arizona· 23rd of 51

$91.20

MN $195DE $74.13

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.