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Complex Chronic Care Management, First Hour

Kentucky 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?

$64.57

Typical negotiated rate. In Kentucky, October 2026.

Insurers have agreed to pay about $64.57 for this service. The price depends on where it is billed: about $64.57 from a physician practice, and about $91.20 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$64.57$54.95 to $81.28
FacilityA hospital or hospital-owned outpatient department$91.20$79.43 to $115

How much rates vary

Facilitymedian $91 · 10th to 90th $79 to $115Professionalmedian $65 · 10th to 90th $32 to $115
$50$100$200$500facility $91professional $65

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
$79.43
Median
$91.20
Typical High
$114.82
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$38.90
Median
$45.71
Typical High
$57.54
Aetna
Setting
Professional
Modifier
None
Typical Low
$70.79
Median
$91.20
Typical High
$114.82
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$34.67
Median
$45.71
Typical High
$57.54
Ambetter
Setting
Professional
Modifier
None
Typical Low
$100.00
Median
$128.82
Typical High
$141.25
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$32.36
Median
$56.23
Typical High
$81.28
CareSource
Setting
Facility
Modifier
None
Typical Low
$70.79
Median
$85.11
Typical High
$134.90
CareSource
Setting
Professional
Modifier
None
Typical Low
$70.79
Median
$100.00
Typical High
$138.04
Cigna
Setting
Facility
Modifier
None
Typical Low
$112.20
Median
$112.20
Typical High
$112.20
Cigna
Setting
Professional
Modifier
None
Typical Low
$70.79
Median
$89.13
Typical High
$691.83
Molina
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
United
Setting
Professional
Modifier
None
Typical Low
$45.71
Median
$83.18
Typical High
$123.03

Where Kentucky 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.

Kentucky· 51st of 51

$64.57

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.