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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 October 2026.

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

$95.50

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $95.50 for this service. The price depends on where it is billed: about $95.50 from a physician practice, and about $257 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$95.50$77.62 to $112
FacilityA hospital or hospital-owned outpatient department$257$224 to $302

How much rates vary

Facilitymedian $257 · 10th to 90th $91 to $417Professionalmedian $95 · 10th to 90th $74 to $151
$100$200$500facility $257professional $95

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
$63.10
Median
$91.20
Typical High
$208.93
Aetna
Setting
Professional
Modifier
None
Typical Low
$67.61
Median
$91.20
Typical High
$112.20
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$33.88
Median
$44.67
Typical High
$56.23
Ambetter
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$128.82
Typical High
$151.36
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$229.09
Median
$257.04
Typical High
$309.03
BCBS Illinois
Setting
Professional
Modifier
None
Typical Low
$81.28
Median
$128.82
Typical High
$151.36
Cigna
Setting
Professional
Modifier
None
Typical Low
$89.13
Median
$120.23
Typical High
$223.87
Hally Health
Setting
Professional
Modifier
None
Typical Low
$77.62
Median
$123.03
Typical High
$186.21
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
None
Typical Low
$107.15
Median
$112.20
Typical High
$177.83
Molina
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
United
Setting
Facility
Modifier
None
Typical Low
$416.87
Median
$416.87
Typical High
$616.60
United
Setting
Professional
Modifier
None
Typical Low
$53.70
Median
$91.20
Typical High
$154.88

Where Illinois 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.

Illinois· 31st of 51

$95.50

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.