go back

Complex Chronic Care Management, First Hour

Massachusetts 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?

$105

Typical negotiated rate. In Massachusetts, October 2026.

Insurers have agreed to pay about $105 for this service. The price depends on where it is billed: about $105 from a physician practice, and about $105 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 9 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$105$70.79 to $129
FacilityA hospital or hospital-owned outpatient department$105$83.18 to $148

How much rates vary

Facilitymedian $105 · 10th to 90th $65 to $166Professionalmedian $105 · 10th to 90th $63 to $295
$50$100$200$500$1K$2K$5Kfacility $105professional $105

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
$63.10
Median
$63.10
Typical High
$63.10
Aetna
Setting
Professional
Modifier
None
Typical Low
$63.10
Median
$63.10
Typical High
$85.11
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$30.90
Median
$30.90
Typical High
$38.02
AllWays Health Partners
Setting
Facility
Modifier
None
Typical Low
$70.79
Median
$83.18
Typical High
$204.17
AllWays Health Partners
Setting
Professional
Modifier
None
Typical Low
$77.62
Median
$263.03
Typical High
$831.76
BCBS Massachusetts
Setting
Facility
Modifier
None
Typical Low
$87.10
Median
$87.10
Typical High
$204.17
BCBS Massachusetts
Setting
Professional
Modifier
None
Typical Low
$74.13
Median
$141.25
Typical High
$288.40
Cigna
Setting
Professional
Modifier
None
Typical Low
$100.00
Median
$158.49
Typical High
$302.00
Fallon Health
Setting
Facility
Modifier
None
Typical Low
$53.70
Median
$125.89
Typical High
$147.91
Fallon Health
Setting
Professional
Modifier
None
Typical Low
$95.50
Median
$165.96
Typical High
$239.88
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$70.79
Median
$128.82
Typical High
$162.18
Mass General Brigham
Setting
Facility
Modifier
None
Typical Low
$70.79
Median
$83.18
Typical High
$204.17
Mass General Brigham
Setting
Professional
Modifier
None
Typical Low
$77.62
Median
$263.03
Typical High
$831.76
United
Setting
Facility
Modifier
None
Typical Low
$245.47
Median
$467.74
Typical High
$691.83
United
Setting
Professional
Modifier
None
Typical Low
$66.07
Median
$128.82
Typical High
$295.12
Well Sense
Setting
Facility
Modifier
None
Typical Low
$79.43
Median
$117.49
Typical High
$162.18
Well Sense
Setting
Professional
Modifier
None
Typical Low
$64.57
Median
$66.07
Typical High
$87.10

Where Massachusetts 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.

Massachusetts· 21st of 51

$105

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.