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Complex Chronic Care Management, First Hour

Rhode Island 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?

$85.11

Typical physician fee. In Rhode Island, October 2026.

Insurers have agreed to pay about $85.11 for this service. Most negotiated rates run $79.43 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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $229 · 10th to 90th $105 to $363Professionalmedian $85 · 10th to 90th $79 to $120
$100$200$500$1Kfacility $229professional $85

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
Professional
Modifier
None
Typical Low
$70.79
Median
$85.11
Typical High
$85.11
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$33.11
Median
$42.66
Typical High
$42.66
BCBS Rhode Island
Setting
Facility
Modifier
None
Typical Low
$104.71
Median
$229.09
Typical High
$363.08
BCBS Rhode Island
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$114.82
Typical High
$120.23
Cigna
Setting
Professional
Modifier
None
Typical Low
$87.10
Median
$125.89
Typical High
$190.55
United
Setting
Facility
Modifier
None
Typical Low
$389.05
Median
$389.05
Typical High
$389.05
United
Setting
Professional
Modifier
None
Typical Low
$66.07
Median
$95.50
Typical High
$158.49

Where Rhode Island 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.

Rhode Island· 41st of 51

$85.11

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.