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Complex Chronic Care Management, First Hour

Nebraska 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?

$117

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $117 for this service. The price depends on where it is billed: about $115 from a physician practice, and about $123 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$115$81.28 to $145
FacilityA hospital or hospital-owned outpatient department$123$95.50 to $158

How much rates vary

Facilitymedian $123 · 10th to 90th $79 to $245Professionalmedian $115 · 10th to 90th $69 to $219
$50$100$200$500facility $123professional $115

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
$81.28
Median
$109.65
Typical High
$190.55
Aetna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$102.33
Typical High
$208.93
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$144.54
Median
$144.54
Typical High
$144.54
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$151.36
BCBS
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$120.23
Typical High
$245.47
BCBS
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$165.96
Typical High
$251.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$229.09
Typical High
$316.23
Medica
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$117.49
Typical High
$213.80
Medica
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$141.25
Typical High
$831.76
Midlands
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$173.78
Typical High
$257.04
Midlands
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$199.53
Typical High
$302.00
United
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$218.78
Typical High
$302.00
United
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$123.03
Typical High
$223.87

Where Nebraska 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.

Nebraska· 4th of 51

$117

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.