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Chronic Care Management Services

Washington, DC rates for HCPCS 99490

This covers time spent by a care team coordinating and managing the ongoing care of a patient with two or more chronic health conditions, outside of a regular office visit. It typically includes tasks like medication review, care coordination between providers, and check-ins to keep a patient's chronic conditions well managed.

Rates data updated July 2026.

How much does Chronic Care Management Services cost?

$47.86

Typical physician fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $47.86 for this service. Most negotiated rates run $36.31 to $57.54.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $60 · 10th to 90th $48 to $93Professionalmedian $48 · 10th to 90th $28 to $63
$20$50$100$200$500facility $60professional $48

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
$47.86
Median
$60.26
Typical High
$93.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$47.86
Typical High
$63.10
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$51.29
Cigna
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$63.10
Typical High
$120.23
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$54.95
Typical High
$83.18
United
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$524.81
Typical High
$602.56
United
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$47.86
Typical High
$114.82

Where Washington, DC sits

The same service costs 2.5 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.

Washington, DC· 23rd of 51

$47.86

MN $89.13VT $36.31

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.