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Complex Chronic Care Management, First Hour

Washington, DC 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?

$85.11

Typical physician fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $85.11 for this service. Most negotiated rates run $70.79 to $110.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $129 · 10th to 90th $85 to $776Professionalmedian $85 · 10th to 90th $56 to $129
$50$100$200$500$1Kfacility $129professional $85

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
Facility
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$128.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$85.11
Typical High
$128.82
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$93.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$125.89
Typical High
$309.03
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$123.03
Typical High
$186.21
United
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$912.01
Typical High
$1,047.13
United
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$100.00
Typical High
$251.19

Where Washington, DC 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.

Washington, DC· 33rd of 51

$85.11

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.