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Complex Chronic Care Management, First Hour

Indiana 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 Indiana, 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 $240 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$70.79 to $100
FacilityA hospital or hospital-owned outpatient department$240$87.10 to $631

How much rates vary

Facilitymedian $240 · 10th to 90th $76 to $955Professionalmedian $95 · 10th to 90th $66 to $126
$50$100$200$500$1K$2Kfacility $240professional $95

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$66.07
Median
$66.07
Typical High
$95.50
Aetna
Setting
Professional
Modifier
None
Typical Low
$66.07
Median
$91.20
Typical High
$112.20
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$33.11
Median
$45.71
Typical High
$56.23
Ambetter
Setting
Professional
Modifier
None
Typical Low
$134.90
Median
$134.90
Typical High
$134.90
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$75.86
Median
$169.82
Typical High
$724.44
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$70.79
Median
$100.00
Typical High
$125.89
CareSource
Setting
Facility
Modifier
None
Typical Low
$81.28
Median
$81.28
Typical High
$93.33
CareSource
Setting
Professional
Modifier
None
Typical Low
$77.62
Median
$77.62
Typical High
$77.62
Cigna
Setting
Professional
Modifier
None
Typical Low
$53.70
Median
$93.33
Typical High
$165.96
Physicians Health Plan of Northern Indiana
Setting
Facility
Modifier
None
Typical Low
$199.53
Median
$407.38
Typical High
$2,137.96
Physicians Health Plan of Northern Indiana
Setting
Professional
Modifier
None
Typical Low
$74.13
Median
$112.20
Typical High
$190.55
United
Setting
Professional
Modifier
None
Typical Low
$47.86
Median
$83.18
Typical High
$131.83

Where Indiana 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.

Indiana· 32nd 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.