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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.

Facilitymedian $83 · 10th–90th $83$3890%50%90th$83Professionalmedian $91 · 10th–90th $62$1450%10%10th90th$91$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
$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