go back

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.

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

$83.18

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $83.18 for this service. The price depends on where it is billed: about $83.18 from a physician practice, and about $148 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 6 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$83.18$69.18 to $110
FacilityA hospital or hospital-owned outpatient department$148$83.18 to $575

How much rates vary

Facilitymedian $148 · 10th to 90th $68 to $575Professionalmedian $83 · 10th to 90th $48 to $129
$50$100$200$500facility $148professional $83

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
$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

Where Tennessee 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.

Tennessee· 41st of 51

$83.18

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.