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Complex Chronic Care Management, First Hour

Louisiana 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?

$85.11

Typical negotiated rate. In Louisiana, July 2026.

Insurers have agreed to pay about $85.11 for this service. The price depends on where it is billed: about $85.11 from a physician practice, and about $132 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$85.11$69.18 to $110
FacilityA hospital or hospital-owned outpatient department$132$91.20 to $186

How much rates vary

Facilitymedian $132 · 10th to 90th $55 to $295Professionalmedian $85 · 10th to 90th $51 to $123
$50$100$200$500facility $132professional $85

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
$51.29
Median
$107.15
Typical High
$186.21
Aetna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$85.11
Typical High
$123.03
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$141.25
Typical High
$151.36
BCBS
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$173.78
Typical High
$302.00
Christus
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$128.82
Typical High
$128.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$95.50
Typical High
$151.36
United
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$257.04
Typical High
$478.63
United
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$83.18
Typical High
$131.83

Where Louisiana 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.

Louisiana· 37th of 51

$85.11

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.