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Complex Chronic Care Management, First Hour

Iowa 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?

$105

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $105 for this service. The price depends on where it is billed: about $105 from a physician practice, and about $148 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 7 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$105$79.43 to $126
FacilityA hospital or hospital-owned outpatient department$148$100 to $240

How much rates vary

Facilitymedian $148 · 10th to 90th $81 to $407Professionalmedian $105 · 10th to 90th $66 to $209
$50$100$200$500facility $148professional $105

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
$81.28
Median
$117.49
Typical High
$239.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$102.33
Typical High
$208.93
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$144.54
Median
$144.54
Typical High
$144.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$251.19
Typical High
$316.23
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$123.03
Typical High
$288.40
Medica
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$128.82
Typical High
$407.38
Medica
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$147.91
Typical High
$575.44
Midlands
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$177.83
Typical High
$269.15
Midlands
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$199.53
United
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$407.38
Typical High
$501.19
United
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$100.00
Typical High
$190.55
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$112.20
Typical High
$199.53

Where Iowa 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.

Iowa· 11th of 51

$105

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.