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Complex Chronic Care Management, First Hour

South Dakota 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?

$102

Typical physician fee. In South Dakota, July 2026.

Insurers have agreed to pay about $102 for this service. Most negotiated rates run $74.13 to $129.

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 $102 · 10th to 90th $69 to $182Professionalmedian $102 · 10th to 90th $69 to $251
$50$100$200facility $102professional $102

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
$52.48
Median
$52.48
Typical High
$91.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$81.28
Typical High
$117.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$251.19
Typical High
$316.23
Medica
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$102.33
Typical High
$181.97
Medica
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$162.18
Typical High
$831.76
Midlands
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$131.83
Typical High
$199.53
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$158.49
Typical High
$263.03
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$144.54
Typical High
$269.15
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$112.20
Typical High
$204.17

Where South Dakota 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.

South Dakota· 13th of 51

$102

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.