go back

Monthly Complex Chronic Care Coordination

Wisconsin rates for HCPCS 99488

Coordination of care across a calendar month for a patient with several serious, long-lasting health problems. The care team keeps the care plan current, manages medicines, arranges services, and stays in contact with the patient's other providers between office visits.

Rates data updated July 2026.

How much does Monthly Complex Chronic Care Coordination cost?

$339

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $339 for this service. The price depends on where it is billed: about $324 from a physician practice, and about $355 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$324$295 to $437
FacilityA hospital or hospital-owned outpatient department$355$204 to $537

How much rates vary

Facilitymedian $355 · 10th to 90th $170 to $708Professionalmedian $324 · 10th to 90th $257 to $832
$200$500$1Kfacility $355professional $324

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Cigna
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$537.03
Typical High
$851.14
Cigna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$316.23
Typical High
$436.52
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$204.17
Typical High
$354.81
Medica
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$204.17
Typical High
$354.81
Medica
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$831.76
Molina
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$58.88
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$204.17
Typical High
$354.81
Quartz
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$338.84
Quartz
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$831.76
Typical High
$831.76

Where Wisconsin sits

The same service costs 27.5 times more in Texas than in South Carolina. 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.

Wisconsin· 11th of 33

$339

TX $832SC $30.20

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.