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Complex Chronic Care Management, First Hour

Illinois 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?

$91.20

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $91.20 for this service. The price depends on where it is billed: about $91.20 from a physician practice, and about $112 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$91.20$74.13 to $120
FacilityA hospital or hospital-owned outpatient department$112$81.28 to $166

How much rates vary

Facilitymedian $112 · 10th to 90th $78 to $240Professionalmedian $91 · 10th to 90th $62 to $151
$50$100$200facility $112professional $91

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
$77.62
Median
$112.20
Typical High
$190.55
Aetna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$85.11
Typical High
$128.82
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$134.90
Typical High
$151.36
BCBS
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$257.04
Typical High
$309.03
BCBS
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$89.13
Typical High
$151.36
Cigna
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$112.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$138.04
Typical High
$213.80
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$144.54
Typical High
$239.88
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$112.20
Typical High
$177.83
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$416.87
Typical High
$616.60
United
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$97.72
Typical High
$162.18

Where Illinois 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.

Illinois· 29th of 51

$91.20

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.