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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 October 2026.

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

$145

Typical negotiated rate. In Iowa, October 2026.

Insurers have agreed to pay about $145 for this service. The price depends on where it is billed: about $145 from a physician practice, and about $245 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$145$93.33 to $186
FacilityA hospital or hospital-owned outpatient department$245$132 to $407

How much rates vary

Facilitymedian $245 · 10th to 90th $98 to $427Professionalmedian $145 · 10th to 90th $79 to $219
$100$200$500facility $245professional $145

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
$79.43
Median
$79.43
Typical High
$120.23
Aetna
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$91.20
Typical High
$120.23
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$39.81
Median
$42.66
Typical High
$60.26
Cigna
Setting
Professional
Modifier
None
Typical Low
$144.54
Median
$218.78
Typical High
$316.23
Hally Health
Setting
Professional
Modifier
None
Typical Low
$74.13
Median
$112.20
Typical High
$218.78
Medica
Setting
Facility
Modifier
None
Typical Low
$97.72
Median
$213.80
Typical High
$407.38
Medica
Setting
Professional
Modifier
None
Typical Low
$100.00
Median
$245.47
Typical High
$831.76
Midlands
Setting
Professional
Modifier
None
Typical Low
$123.03
Median
$186.21
Typical High
$186.21
Midlands
Setting
Professional
Modifier
None
Typical Low
$141.25
Median
$141.25
Typical High
$218.78
United
Setting
Facility
Modifier
None
Typical Low
$263.03
Median
$446.68
Typical High
$562.34
United
Setting
Professional
Modifier
None
Typical Low
$56.23
Median
$100.00
Typical High
$194.98
Wellmark
Setting
Professional
Modifier
None
Typical Low
$93.33
Median
$112.20
Typical High
$169.82

Where Iowa 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.

Iowa· 8th of 51

$145

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.