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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 July 2026.

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

$89.13

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $89.13 for this service. The price depends on where it is billed: about $87.10 from a physician practice, and about $97.72 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$87.10$72.44 to $112
FacilityA hospital or hospital-owned outpatient department$97.72$75.86 to $126

How much rates vary

Facilitymedian $98 · 10th to 90th $68 to $162Professionalmedian $87 · 10th to 90th $56 to $129
$100$1K$10K$100Kfacility $98professional $87

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
$125.89
Median
$144.54
Typical High
$229.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$85.11
Typical High
$128.82
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
$117.49
Median
$117.49
Typical High
$138.04
BCBS
Setting
Facility
Modifier
Global
Typical Low
$56,234.13
Median
$69,183.10
Typical High
$81,283.05
BCBS
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$100.00
Typical High
$158.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$131.83
Typical High
$229.09
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$60.26
Providence
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$91.20
Typical High
$131.83
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$112.20
Typical High
$213.80
United
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$776.25
United
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$120.23
Typical High
$165.96

Where New Mexico 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 Mexico· 31st of 51

$89.13

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.