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Chronic Care Management Services

Florida 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?

$42.66

Typical negotiated rate. In Florida, July 2026.

Insurers have agreed to pay about $42.66 for this service. The price depends on where it is billed: about $41.69 from a physician practice, and about $102 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 8 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$41.69$33.88 to $50.12
FacilityA hospital or hospital-owned outpatient department$102$33.88 to $138,038

How much rates vary

Facilitymedian $102 · 10th to 90th $26 to $218,776Professionalmedian $42 · 10th to 90th $28 to $60
$100$1K$10K$100Kfacility $102professional $42

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
$26.30
Median
$33.88
Typical High
$102.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$41.69
Typical High
$60.26
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$61.66
Typical High
$69.18
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$66.07
Median
$66.07
Typical High
$66.07
AvMed
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$54.95
Typical High
$69.18
AvMed
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$54.95
Typical High
$69.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$61.66
Cigna
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$51.29
Typical High
$89.13
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$52,480.75
Median
$158,489.32
Typical High
$309,029.54
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$47.86
Typical High
$61.66
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$33.11
Typical High
$58.88
United
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$117.49
Typical High
$123.03
United
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$39.81
Typical High
$69.18
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$38.02
Typical High
$66.07

Where Florida 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.

Florida· 44th of 51

$42.66

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.