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Complex Chronic Care Management, First Hour

North Dakota 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?

$151

Typical physician fee. In North Dakota, July 2026.

Insurers have agreed to pay about $151 for this service. Most negotiated rates run $91.20 to $229.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $91 · 10th to 90th $52 to $123Professionalmedian $158 · 10th to 90th $68 to $295
$50.0$100.0$200.0$500.0facility $91professional $158

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
$52.48
Median
$83.18
Typical High
$123.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$85.11
Typical High
$144.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$229.09
Typical High
$316.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$263.03
Typical High
$407.38
Medica
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$91.20
Typical High
$158.49
Medica
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$173.78
Typical High
$831.76
United
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$141.25
Typical High
$275.42

Where North Dakota 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.

North Dakota $151 · 2nd 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.