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Complex Chronic Care Management, First Hour

New Mexico 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?

$89.13

Typical physician fee. In New Mexico, October 2026.

Insurers have agreed to pay about $89.13 for this service. Most negotiated rates run $85.11 to $120.

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.

How much rates vary

Facilitymedian $105 · 10th to 90th $72 to $776Professionalmedian $89 · 10th to 90th $60 to $129
$50$100$200$500facility $105professional $89

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
$72.44
Median
$91.20
Typical High
$128.82
Aetna
Setting
Professional
Modifier
None
Typical Low
$83.18
Median
$91.20
Typical High
$120.23
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$39.81
Median
$41.69
Typical High
$58.88
Ambetter
Setting
Professional
Modifier
None
Typical Low
$117.49
Median
$117.49
Typical High
$138.04
BCBS New Mexico
Setting
Professional
Modifier
None
Typical Low
$50.12
Median
$89.13
Typical High
$158.49
Cigna
Setting
Professional
Modifier
None
Typical Low
$63.10
Median
$112.20
Typical High
$190.55
Molina
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
Providence
Setting
Professional
Modifier
None
Typical Low
$63.10
Median
$112.20
Typical High
$213.80
United
Setting
Facility
Modifier
None
Typical Low
$346.74
Median
$346.74
Typical High
$776.25
United
Setting
Professional
Modifier
None
Typical Low
$72.44
Median
$117.49
Typical High
$165.96

Where New Mexico 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 Mexico· 37th of 51

$89.13

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.