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Complex Chronic Care Management, First Hour

Montana 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?

$112

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $112 for this service. The price depends on where it is billed: about $110 from a physician practice, and about $151 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 6 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$110$81.28 to $141
FacilityA hospital or hospital-owned outpatient department$151$112 to $229

How much rates vary

Facilitymedian $151 · 10th to 90th $79 to $240Professionalmedian $110 · 10th to 90th $69 to $209
$100.0$1.0K$10.0K$100.0Kfacility $151professional $110

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
$128.82
Median
$128.82
Typical High
$128.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$104.71
Typical High
$177.83
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$144.54
Median
$144.54
Typical High
$144.54
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$75,857.76
Typical High
$91,201.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$141.25
Typical High
$213.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$213.80
Typical High
$251.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$138.04
Typical High
$213.80
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$158.49
Typical High
$239.88
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$158.49
Typical High
$239.88
Providence
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$102.33
Typical High
$165.96
Providence
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$125.89
Typical High
$208.93
United
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$169.82
United
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$131.83
Typical High
$186.21

Where Montana sits

The same service costs 2.6 times more in Minnesota than in Delaware. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Montana $112 · 8th of 51
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.