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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 July 2026.

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

$91.20

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $91.20 for this service. The price depends on where it is billed: about $91.20 from a physician practice, and about $117 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 9 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$91.20$70.79 to $110
FacilityA hospital or hospital-owned outpatient department$117$77.62 to $155

How much rates vary

Facilitymedian $117 · 10th to 90th $71 to $263Professionalmedian $91 · 10th to 90th $59 to $129
$50$100$200facility $117professional $91

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
$70.79
Median
$117.49
Typical High
$263.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$91.20
Typical High
$125.89
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$128.82
Typical High
$138.04
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$93.33
Typical High
$173.78
CareSource
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$85.11
Typical High
$102.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$85.11
Typical High
$112.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$112.20
Typical High
$190.55
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$112.20
Typical High
$177.83
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
SummaCare
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$38.02
Typical High
$38.02
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$131.83
Typical High
$199.53
United
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$354.81
Typical High
$549.54
United
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$87.10
Typical High
$154.88

Where Ohio 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.

Ohio· 27th of 51

$91.20

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.