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Complex Chronic Care Management, First Hour

Maryland 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?

$93.33

Typical physician fee. In Maryland, October 2026.

Insurers have agreed to pay about $93.33 for this service. Most negotiated rates run $89.13 to $126.

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.

How much rates vary

Professionalmedian $93 · 10th to 90th $83 to $138
$100professional $93

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
Professional
Modifier
None
Typical Low
$83.18
Median
$85.11
Typical High
$128.82
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$40.74
Median
$42.66
Typical High
$64.57
CareFirst
Setting
Professional
Modifier
None
Typical Low
$89.13
Median
$93.33
Typical High
$138.04
Cigna
Setting
Professional
Modifier
None
Typical Low
$64.57
Median
$107.15
Typical High
$194.98
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$81.28
Median
$107.15
Typical High
$173.78
United
Setting
Professional
Modifier
None
Typical Low
$44.67
Median
$85.11
Typical High
$194.98
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$165.96
Median
$218.78
Typical High
$234.42

Where Maryland 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.

Maryland· 33rd of 51

$93.33

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.