go back

Chronic Care Management Services

Kentucky 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?

$43.65

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $43.65 for this service. The price depends on where it is billed: about $43.65 from a physician practice, and about $50.12 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$43.65$33.88 to $56.23
FacilityA hospital or hospital-owned outpatient department$50.12$43.65 to $61.66

How much rates vary

Facilitymedian $50 · 10th to 90th $37 to $69Professionalmedian $44 · 10th to 90th $27 to $74
$20$50$100$200facility $50professional $44

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
$43.65
Median
$53.70
Typical High
$93.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$45.71
Typical High
$77.62
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$61.66
Typical High
$69.18
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$33.88
Typical High
$51.29
CareSource
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$45.71
Typical High
$64.57
CareSource
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$57.54
Typical High
$77.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$61.66
Cigna
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$56.23
Typical High
$316.23
Molina
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$67.61
United
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$40.74
Typical High
$63.10

Where Kentucky 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.

Kentucky· 42nd of 51

$43.65

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.