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Complex Chronic Care Management, First Hour

Florida 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?

$81.28

Typical negotiated rate. In Florida, July 2026.

Insurers have agreed to pay about $81.28 for this service. The price depends on where it is billed: about $81.28 from a physician practice, and about $316 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 8 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$81.28$69.18 to $105
FacilityA hospital or hospital-owned outpatient department$316$74.13 to $199,526

How much rates vary

Facilitymedian $316 · 10th to 90th $43 to $281,838Professionalmedian $81 · 10th to 90th $47 to $129
$100$1K$10K$100Kfacility $316professional $81

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
$42.66
Median
$74.13
Typical High
$223.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$81.28
Typical High
$123.03
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$120.23
Typical High
$144.54
AvMed
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$120.23
Typical High
$147.91
AvMed
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$114.82
Typical High
$147.91
Cigna
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$112.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$107.15
Typical High
$186.21
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$66,069.34
Median
$199,526.23
Typical High
$389,045.14
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$104.71
Typical High
$131.83
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$204.17
Typical High
$213.80
United
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$79.43
Typical High
$141.25
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$112.20
Typical High
$141.25

Where Florida 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.

Florida· 44th of 51

$81.28

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.