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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 July 2026.

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

$91.20

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $91.20 for this service. The price depends on where it is billed: about $87.10 from a physician practice, and about $170 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 6 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$87.10$72.44 to $110
FacilityA hospital or hospital-owned outpatient department$170$95.50 to $550

How much rates vary

Facilitymedian $170 · 10th to 90th $87 to $724Professionalmedian $87 · 10th to 90th $63 to $129
$50.0$100.0$200.0$500.0facility $170professional $87

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
$72.44
Median
$104.71
Typical High
$190.55
Aetna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$83.18
Typical High
$123.03
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$134.90
Typical High
$138.04
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$549.54
Typical High
$724.44
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$112.20
Typical High
$177.83
CareSource
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$83.18
Typical High
$93.33
CareSource
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$77.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$85.11
Typical High
$107.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$109.65
Typical High
$169.82
United
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$114.82
Typical High
$316.23
United
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$83.18
Typical High
$128.82

Where Indiana sits

The same service costs 2.6 times more in Minnesota than in Delaware. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Indiana $91.20 · 24th of 51
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.