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Complex Chronic Care Management, First Hour

New Jersey 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?

$77.62

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $77.62 for this service. The price depends on where it is billed: about $77.62 from a physician practice, and about $85.11 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$77.62$67.61 to $105
FacilityA hospital or hospital-owned outpatient department$85.11$74.13 to $162

How much rates vary

Facilitymedian $85 · 10th to 90th $69 to $513Professionalmedian $78 · 10th to 90th $48 to $129
$50$100$200$500facility $85professional $78

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
$69.18
Median
$74.13
Typical High
$162.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$77.62
Typical High
$128.82
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$134.90
Typical High
$147.91
Cigna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$114.82
Typical High
$208.93
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$218.78
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$512.86
Typical High
$794.33
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$56.23
Typical High
$165.96
United
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$741.31
United
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$89.13
Typical High
$162.18

Where New Jersey 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.

New Jersey· 49th of 51

$77.62

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.