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Complex Chronic Care Management, First Hour

Tennessee 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.

Facilitymedian $148 · 10th–90th $68$5750%20%10th90th$148Professionalmedian $83 · 10th–90th $48$1290%10%10th90th$83$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$83.18
Typical High
$147.91
Aetna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$83.18
Typical High
$123.03
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$134.90
Typical High
$151.36
BCBS
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$114.82
Typical High
$186.21
Cigna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$114.82
Typical High
$177.83
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$575.44
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$831.76
United
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$316.23
United
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$85.11
Typical High
$147.91