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Complex Chronic Care Management, First Hour

Idaho 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 Idaho, 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 $115 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$105$79.43 to $129
FacilityA hospital or hospital-owned outpatient department$115$81.28 to $178

How much rates vary

Facilitymedian $115 · 10th to 90th $66 to $355Professionalmedian $105 · 10th to 90th $62 to $200
$50$100$200$500facility $115professional $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
$93.33
Median
$134.90
Typical High
$199.53
Aetna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$102.33
Typical High
$165.96
BCBS
Setting
Facility
Modifier
Global
Typical Low
$5.89
Median
$309.03
Typical High
$501.19
BCBS
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$181.97
Typical High
$263.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$100.00
Typical High
$158.49
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$95.50
Typical High
$165.96
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$239.88
Typical High
$288.40
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$371.54
Typical High
$524.81
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$169.82
Typical High
$218.78
Select Health
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$134.90
Typical High
$416.87
Select Health
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$134.90
Typical High
$165.96
United
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$100.00
Typical High
$151.36

Where Idaho 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.

Idaho· 10th 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.