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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 July 2026.

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

$81.28

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $81.28 for this service. The price depends on where it is billed: about $79.43 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$79.43$69.18 to $105
FacilityA hospital or hospital-owned outpatient department$112$83.18 to $115

How much rates vary

Facilitymedian $112 · 10th to 90th $78 to $204Professionalmedian $79 · 10th to 90th $56 to $126
$50$100$200facility $112professional $79

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
$204.17
Aetna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$85.11
Typical High
$123.03
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$134.90
Typical High
$138.04
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$75.86
Typical High
$114.82
CareSource
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$95.50
Typical High
$134.90
CareSource
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$100.00
Typical High
$138.04
Cigna
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$112.20
Typical High
$112.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$125.89
Typical High
$691.83
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$41.69
United
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$169.82
United
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$83.18
Typical High
$134.90

Where Kentucky 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.

Kentucky· 45th of 51

$81.28

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.