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Complex Chronic Care Management, First Hour

Michigan 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?

$135

Typical negotiated rate. In Michigan, October 2026.

Insurers have agreed to pay about $135 for this service. The price depends on where it is billed: about $135 from a physician practice, and about $170 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$135$93.33 to $138
FacilityA hospital or hospital-owned outpatient department$170$135 to $240

How much rates vary

Facilitymedian $170 · 10th to 90th $93 to $263Professionalmedian $135 · 10th to 90th $91 to $170
$100$200$500facility $170professional $135

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$91.20
Median
$134.90
Typical High
$134.90
Aetna
Setting
Professional
Modifier
None
Typical Low
$91.20
Median
$95.50
Typical High
$138.04
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$45.71
Median
$45.71
Typical High
$67.61
Ambetter
Setting
Professional
Modifier
None
Typical Low
$81.28
Median
$81.28
Typical High
$138.04
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$144.54
Median
$169.82
Typical High
$169.82
BCBS Michigan
Setting
Professional
Modifier
None
Typical Low
$134.90
Median
$169.82
Typical High
$169.82
Cigna
Setting
Professional
Modifier
None
Typical Low
$72.44
Median
$117.49
Typical High
$257.04
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$93.33
Median
$239.88
Typical High
$263.03
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$89.13
Median
$93.33
Typical High
$134.90
Health Alliance Plan
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$46.77
Median
$46.77
Typical High
$67.61
Priority Health
Setting
Professional
Modifier
None
Typical Low
$85.11
Median
$120.23
Typical High
$251.19
United
Setting
Facility
Modifier
None
Typical Low
$181.97
Median
$288.40
Typical High
$501.19
United
Setting
Professional
Modifier
None
Typical Low
$53.70
Median
$87.10
Typical High
$117.49

Where Michigan 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.

Michigan· 10th of 51

$135

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.