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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 October 2026.

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

$81.28

Typical physician fee. In Vermont, October 2026.

Insurers have agreed to pay about $81.28 for this service. Most negotiated rates run $81.28 to $129.

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 $81 · 10th to 90th $63 to $166
$50$100$200professional $81

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
Professional
Modifier
None
Typical Low
$63.10
Median
$81.28
Typical High
$83.18
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$30.90
Median
$40.74
Typical High
$40.74
Cigna
Setting
Professional
Modifier
None
Typical Low
$91.20
Median
$109.65
Typical High
$141.25
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$177.83
Median
$199.53
Typical High
$223.87
United
Setting
Professional
Modifier
None
Typical Low
$74.13
Median
$128.82
Typical High
$257.04

Where Vermont 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.

Vermont· 45th of 51

$81.28

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.