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Extra Time For Complex Ongoing Care Coordination

Iowa rates for HCPCS 99489

This covers additional clinical staff time spent coordinating care for a patient with multiple, complex chronic health conditions, billed in addition to the initial period of coordination already provided that month. This kind of ongoing coordination — reviewing medications, communicating between specialists, and adjusting the care plan — is done under a supervising clinician's direction rather than during an office visit. It reflects extra time needed for patients whose conditions require more than the usual amount of coordination each month.

Rates data updated July 2026.

How much does Extra Time For Complex Ongoing Care Coordination cost?

$51.29

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $51.29 for this service. The price depends on where it is billed: about $50.12 from a physician practice, and about $64.57 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 7 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$50.12$40.74 to $64.57
FacilityA hospital or hospital-owned outpatient department$64.57$48.98 to $95.50

How much rates vary

Facilitymedian $65 · 10th to 90th $45 to $132Professionalmedian $50 · 10th to 90th $35 to $115
$20$50$100$200facility $65professional $50

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
Facility
Modifier
Global
Typical Low
$44.67
Median
$64.57
Typical High
$128.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$50.12
Typical High
$75.86
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$77.62
Median
$77.62
Typical High
$77.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$134.90
Typical High
$169.82
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$66.07
Typical High
$138.04
Medica
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$64.57
Typical High
$218.78
Medica
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$77.62
Typical High
$316.23
Midlands
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$100.00
Typical High
$151.36
Midlands
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$104.71
United
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$85.11
United
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$48.98
Typical High
$95.50
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$61.66
Typical High
$107.15

Where Iowa sits

The same service costs 3.0 times more in Minnesota than in Vermont. 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.

Iowa· 14th of 51

$51.29

MN $115VT $38.90

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.