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Chronic Care Management Services

Illinois 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 negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $47.86 for this service. The price depends on where it is billed: about $47.86 from a physician practice, and about $56.23 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$47.86$40.74 to $63.10
FacilityA hospital or hospital-owned outpatient department$56.23$50.12 to $93.33

How much rates vary

Facilitymedian $56 · 10th to 90th $43 to $148Professionalmedian $48 · 10th to 90th $32 to $69
$50$100$200$500facility $56professional $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
$42.66
Median
$52.48
Typical High
$93.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$44.67
Typical High
$66.07
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$144.54
Median
$144.54
Typical High
$144.54
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$61.66
Typical High
$77.62
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$41.69
Median
$63.10
Typical High
$70.79
BCBS
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$173.78
Typical High
$776.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$58.88
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
$44.67
Median
$69.18
Typical High
$97.72
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$70.79
Typical High
$114.82
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$61.66
Typical High
$83.18
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$239.88
Typical High
$354.81
United
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$48.98
Typical High
$79.43

Where Illinois 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.

Illinois· 22nd 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.