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Complex Chronic Care Management, First Hour

Virginia 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?

$105

Typical negotiated rate. In Virginia, October 2026.

Insurers have agreed to pay about $105 for this service. The price depends on where it is billed: about $105 from a physician practice, and about $69.18 from a hospital or other facility.

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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$105$91.20 to $138
FacilityA hospital or hospital-owned outpatient department$69.18$52.48 to $97.72

How much rates vary

Facilitymedian $69 · 10th to 90th $51 to $269Professionalmedian $105 · 10th to 90th $83 to $151
$50$200$1K$5Kfacility $69professional $105

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$51.29
Median
$85.11
Typical High
$128.82
Aetna
Setting
Professional
Modifier
None
Typical Low
$51.29
Median
$85.11
Typical High
$128.82
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$25.70
Median
$42.66
Typical High
$64.57
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$85.11
Median
$117.49
Typical High
$151.36
CareFirst
Setting
Professional
Modifier
None
Typical Low
$89.13
Median
$93.33
Typical High
$93.33
Cigna
Setting
Professional
Modifier
None
Typical Low
$74.13
Median
$120.23
Typical High
$177.83
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$75.86
Median
$123.03
Typical High
$190.55
Medcost
Setting
Facility
Modifier
None
Typical Low
$70.79
Median
$95.50
Typical High
$165.96
Medcost
Setting
Professional
Modifier
None
Typical Low
$63.10
Median
$63.10
Typical High
$89.13
Sentara
Setting
Facility
Modifier
None
Typical Low
$51.29
Median
$60.26
Typical High
$269.15
Sentara
Setting
Professional
Modifier
None
Typical Low
$64.57
Median
$93.33
Typical High
$223.87
United
Setting
Facility
Modifier
None
Typical Low
$338.84
Median
$371.54
Typical High
$831.76
United
Setting
Professional
Modifier
None
Typical Low
$44.67
Median
$83.18
Typical High
$154.88

Where Virginia 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.

Virginia· 22nd of 51

$105

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.