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Chronic Care Management Services

Massachusetts 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?

$50.12

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $50.12 for this service. The price depends on where it is billed: about $48.98 from a physician practice, and about $61.66 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 9 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$48.98$38.02 to $74.13
FacilityA hospital or hospital-owned outpatient department$61.66$56.23 to $79.43

How much rates vary

Facilitymedian $62 · 10th to 90th $32 to $148Professionalmedian $49 · 10th to 90th $30 to $120
$50$100$200$500$1K$2K$5Kfacility $62professional $49

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
$31.62
Median
$41.69
Typical High
$102.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$40.74
Typical High
$61.66
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$141.25
Typical High
$316.23
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$61.66
Typical High
$177.83
BCBS
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$61.66
Typical High
$128.82
BCBS
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$69.18
Typical High
$125.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$83.18
Typical High
$147.91
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$64.57
Typical High
$83.18
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$74.13
Typical High
$109.65
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$79.43
Typical High
$138.04
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$141.25
Typical High
$316.23
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$61.66
Typical High
$177.83
Tufts
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$72.44
United
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$181.97
Typical High
$371.54
United
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$70.79
Typical High
$173.78

Where Massachusetts 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.

Massachusetts· 16th of 51

$50.12

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.