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Complex Chronic Care Management, First Hour

Utah 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?

$91.20

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $91.20 for this service. The price depends on where it is billed: about $91.20 from a physician practice, and about $83.18 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 7 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$91.20$74.13 to $117
FacilityA hospital or hospital-owned outpatient department$83.18$83.18 to $288

How much rates vary

Facilitymedian $83 · 10th to 90th $83 to $389Professionalmedian $91 · 10th to 90th $62 to $145
$50$100$200$500facility $83professional $91

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
$83.18
Median
$83.18
Typical High
$83.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$89.13
Typical High
$134.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$109.65
Typical High
$165.96
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$109.65
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$316.23
Typical High
$478.63
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$123.03
Typical High
$154.88
Select Health
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$165.96
Typical High
$165.96
Select Health
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$87.10
Typical High
$102.33
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$144.54
Typical High
$204.17
United
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$316.23
United
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$93.33
Typical High
$147.91

Where Utah 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.

Utah· 20th of 51

$91.20

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.