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Chronic Care Management Services

Maine 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?

$45.71

Typical physician fee. In Maine, July 2026.

Insurers have agreed to pay about $45.71 for this service. Most negotiated rates run $37.15 to $60.26.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $89 · 10th to 90th $35 to $89Professionalmedian $46 · 10th to 90th $30 to $81
$50$100facility $89professional $46

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
$34.67
Median
$89.13
Typical High
$89.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$39.81
Typical High
$52.48
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$69.18
Typical High
$104.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$58.88
Typical High
$102.33
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$63.10
Typical High
$123.03
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$77.62
Typical High
$89.13
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$42.66
Typical High
$72.44
United
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$56.23
Typical High
$104.71

Where Maine 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.

Maine· 27th of 51

$45.71

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.