go back

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 July 2026.

How much does Complex Chronic Care Management, First Hour cost?

$93.33

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $93.33 for this service. The price depends on where it is billed: about $93.33 from a physician practice, and about $135 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 7 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$93.33$74.13 to $123
FacilityA hospital or hospital-owned outpatient department$135$95.50 to $166

How much rates vary

Facilitymedian $135 · 10th to 90th $93 to $288Professionalmedian $93 · 10th to 90th $63 to $138
$50$100$200$500facility $135professional $93

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
$93.33
Median
$134.90
Typical High
$134.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$91.20
Typical High
$128.82
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$109.65
Typical High
$138.04
BCBS
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$158.49
Typical High
$165.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$144.54
Typical High
$169.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$117.49
Typical High
$288.40
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$218.78
Typical High
$263.03
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$93.33
Typical High
$144.54
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$229.09
Typical High
$251.19
United
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$288.40
Typical High
$575.44
United
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$93.33
Typical High
$131.83

Where Michigan 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.

Michigan· 16th of 51

$93.33

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.