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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 October 2026.

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

$77.62

Typical negotiated rate. In Florida, October 2026.

Insurers have agreed to pay about $77.62 for this service. The price depends on where it is billed: about $77.62 from a physician practice, and about $339 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$77.62$66.07 to $112
FacilityA hospital or hospital-owned outpatient department$339$148 to $347

How much rates vary

Facilitymedian $339 · 10th to 90th $87 to $6,310Professionalmedian $78 · 10th to 90th $44 to $155
$50$200$1K$5Kfacility $339professional $78

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$42.66
Median
$69.18
Typical High
$93.33
Aetna
Setting
Professional
Modifier
None
Typical Low
$42.66
Median
$72.44
Typical High
$102.33
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$21.38
Median
$35.48
Typical High
$46.77
Ambetter
Setting
Professional
Modifier
None
Typical Low
$120.23
Median
$144.54
Typical High
$151.36
AvMed
Setting
Facility
Modifier
None
Typical Low
$83.18
Median
$120.23
Typical High
$147.91
AvMed
Setting
Professional
Modifier
None
Typical Low
$81.28
Median
$114.82
Typical High
$154.88
Cigna
Setting
Facility
Modifier
None
Typical Low
$112.20
Median
$112.20
Typical High
$112.20
Cigna
Setting
Professional
Modifier
None
Typical Low
$63.10
Median
$91.20
Typical High
$151.36
Florida Blue
Setting
Facility
Modifier
None
Typical Low
$338.84
Median
$338.84
Typical High
$7,079.46
Florida Blue
Setting
Professional
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$107.15
Molina
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$275.42
Typical High
$338.84
United
Setting
Facility
Modifier
None
Typical Low
$204.17
Median
$204.17
Typical High
$223.87
United
Setting
Professional
Modifier
None
Typical Low
$39.81
Median
$72.44
Typical High
$138.04
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$144.54
Typical High
$144.54

Where Florida sits

The same service costs 3.4 times more in Alaska than in Kentucky. 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· 48th of 51

$77.62

AK $219KY $64.57

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.