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Complex Chronic Care Management, First Hour

Ohio 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?

$93.33

Typical physician fee. In Ohio, October 2026.

Insurers have agreed to pay about $93.33 for this service. Most negotiated rates run $70.79 to $123.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $102 · 10th to 90th $71 to $427Professionalmedian $93 · 10th to 90th $59 to $155
$50$100$200$500facility $102professional $93

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
$70.79
Median
$102.33
Typical High
$213.80
Aetna
Setting
Professional
Modifier
None
Typical Low
$70.79
Median
$102.33
Typical High
$102.33
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$34.67
Median
$51.29
Typical High
$51.29
Ambetter
Setting
Professional
Modifier
None
Typical Low
$134.90
Median
$144.54
Typical High
$151.36
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$58.88
Median
$63.10
Typical High
$107.15
Cigna
Setting
Professional
Modifier
None
Typical Low
$47.86
Median
$85.11
Typical High
$169.82
Medical Mutual of Ohio
Setting
Professional
Modifier
None
Typical Low
$47.86
Median
$89.13
Typical High
$169.82
Molina
Setting
Professional
Modifier
None
Typical Low
$91.20
Median
$125.89
Typical High
$181.97
SummaCare
Setting
Professional
Modifier
None
Typical Low
$81.28
Median
$81.28
Typical High
$144.54
United
Setting
Facility
Modifier
None
Typical Low
$363.08
Median
$426.58
Typical High
$602.56
United
Setting
Professional
Modifier
None
Typical Low
$47.86
Median
$89.13
Typical High
$173.78

Where Ohio 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.

Ohio· 34th of 51

$93.33

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.