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Complex Chronic Care Management, First Hour

Vermont 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?

$79.43

Typical physician fee. In Vermont, July 2026.

Insurers have agreed to pay about $79.43 for this service. Most negotiated rates run $63.10 to $89.13.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $79 · 10th to 90th $56 to $105
$50$100$200professional $79

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
Professional
Modifier
Global
Typical Low
$47.86
Median
$79.43
Typical High
$104.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$104.71
Typical High
$186.21
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$199.53
Typical High
$223.87
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$128.82
Typical High
$275.42

Where Vermont 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.

Vermont· 46th of 51

$79.43

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.