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Chronic Care Management Services

Idaho 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?

$54.95

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $54.95 for this service. The price depends on where it is billed: about $53.70 from a physician practice, and about $66.07 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$53.70$43.65 to $74.13
FacilityA hospital or hospital-owned outpatient department$66.07$44.67 to $93.33

How much rates vary

Facilitymedian $66 · 10th to 90th $35 to $170Professionalmedian $54 · 10th to 90th $36 to $98
$50$100$200facility $66professional $54

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
$69.18
Median
$77.62
Typical High
$93.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$50.12
Typical High
$93.33
BCBS
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$151.36
Typical High
$263.03
BCBS
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$97.72
Typical High
$123.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$53.70
Typical High
$75.86
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$32.36
Median
$46.77
Typical High
$79.43
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$89.13
Typical High
$131.83
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$199.53
Typical High
$288.40
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$81.28
Typical High
$102.33
Select Health
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$63.10
Typical High
$239.88
Select Health
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$63.10
Typical High
$91.20
United
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$48.98
Typical High
$72.44

Where Idaho 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.

Idaho· 10th of 51

$54.95

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.