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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 July 2026.

Facilitymedian $117 · 10th–90th $63$2450%20%10th90th$117Professionalmedian $98 · 10th–90th $63$2400%10%20%10th90th$98$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$123.03
Typical High
$223.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$77.62
Typical High
$128.82
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$208.93
Typical High
$575.44
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$128.82
Typical High
$407.38
BCBS
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$234.42
BCBS
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$165.96
Typical High
$281.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$173.78
Typical High
$309.03
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$112.20
Typical High
$162.18
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$165.96
Typical High
$239.88
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$154.88
Typical High
$302.00
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$208.93
Typical High
$575.44
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$128.82
Typical High
$407.38
United
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$316.23
Typical High
$645.65
United
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$158.49
Typical High
$380.19