go back

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 October 2026.

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

$148

Typical physician fee. In South Dakota, October 2026.

Insurers have agreed to pay about $148 for this service. Most negotiated rates run $102 to $204.

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 $112 · 10th to 90th $95 to $170Professionalmedian $148 · 10th to 90th $85 to $251
$100$200$500facility $112professional $148

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
$52.48
Median
$52.48
Typical High
$91.20
Aetna
Setting
Professional
Modifier
None
Typical Low
$66.07
Median
$83.18
Typical High
$102.33
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$33.11
Median
$40.74
Typical High
$51.29
Cigna
Setting
Professional
Modifier
None
Typical Low
$85.11
Median
$251.19
Typical High
$316.23
Medica
Setting
Facility
Modifier
None
Typical Low
$97.72
Median
$114.82
Typical High
$169.82
Medica
Setting
Professional
Modifier
None
Typical Low
$102.33
Median
$575.44
Typical High
$831.76
Midlands
Setting
Professional
Modifier
None
Typical Low
$100.00
Median
$144.54
Typical High
$173.78
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$104.71
Median
$151.36
Typical High
$199.53
United
Setting
Professional
Modifier
None
Typical Low
$61.66
Median
$102.33
Typical High
$177.83
Wellmark
Setting
Professional
Modifier
None
Typical Low
$93.33
Median
$112.20
Typical High
$204.17

Where South Dakota 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.

South Dakota· 6th of 51

$148

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.