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Complex Chronic Care Management, First Hour

Washington 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 $98 · 10th–90th $48$2690%5%10th90th$98Professionalmedian $100 · 10th–90th $48$2240%5%10%10th90th$100$50.0$100.0$200.0$500.0$1.0K

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
$56.23
Median
$162.18
Typical High
$309.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$100.00
Typical High
$208.93
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$144.54
Median
$144.54
Typical High
$144.54
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$131.83
Typical High
$269.15
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$512.86
Typical High
$870.96
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$177.83
Typical High
$302.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$173.78
Typical High
$316.23
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$85.11
Typical High
$204.17
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$83.18
Typical High
$177.83
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$223.87
Typical High
$269.15
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$173.78
Typical High
$323.59
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$478.63
Typical High
$870.96
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$177.83
Typical High
$295.12
United
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$660.69
Typical High
$1,202.26
United
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$131.83
Typical High
$295.12
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$147.91
Typical High
$208.93