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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 October 2026.

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

$74.13

Typical negotiated rate. In New Jersey, October 2026.

Insurers have agreed to pay about $74.13 for this service. The price depends on where it is billed: about $74.13 from a physician practice, and about $550 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$74.13$67.61 to $74.13
FacilityA hospital or hospital-owned outpatient department$550$363 to $759

How much rates vary

Facilitymedian $550 · 10th to 90th $74 to $776Professionalmedian $74 · 10th to 90th $38 to $115
$50$100$200$500$1Kfacility $550professional $74

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$38.02
Median
$74.13
Typical High
$74.13
Aetna
Setting
Professional
Modifier
None
Typical Low
$38.02
Median
$74.13
Typical High
$79.43
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$19.05
Median
$37.15
Typical High
$37.15
Ambetter
Setting
Professional
Modifier
None
Typical Low
$117.49
Median
$134.90
Typical High
$141.25
Cigna
Setting
Professional
Modifier
None
Typical Low
$63.10
Median
$100.00
Typical High
$181.97
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$218.78
Median
$218.78
Typical High
$218.78
Horizon BCBS
Setting
Facility
Modifier
None
Typical Low
$398.11
Median
$602.56
Typical High
$831.76
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$53.70
Median
$56.23
Typical High
$194.98
United
Setting
Facility
Modifier
None
Typical Low
$338.84
Median
$338.84
Typical High
$741.31
United
Setting
Professional
Modifier
None
Typical Low
$48.98
Median
$91.20
Typical High
$169.82

Where New Jersey sits

The same service costs 3.4 times more in Alaska than in Kentucky. 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· 50th of 51

$74.13

AK $219KY $64.57

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.