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Chronic Care Management Services

Michigan 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?

$46.77

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $46.77 for this service. The price depends on where it is billed: about $46.77 from a physician practice, and about $67.61 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$46.77$38.90 to $56.23
FacilityA hospital or hospital-owned outpatient department$67.61$51.29 to $91.20

How much rates vary

Facilitymedian $68 · 10th to 90th $51 to $117Professionalmedian $47 · 10th to 90th $32 to $65
$50$100$200facility $68professional $47

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
$51.29
Median
$63.10
Typical High
$91.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$45.71
Typical High
$63.10
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$58.88
Typical High
$64.57
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$63.10
Median
$63.10
Typical High
$63.10
BCBS
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$67.61
Typical High
$67.61
BCBS
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$67.61
Typical High
$70.79
CareSource
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$34.67
Typical High
$36.31
CareSource
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$57.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$48.98
Typical High
$117.49
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$100.00
Typical High
$117.49
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$48.98
Typical High
$74.13
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$114.82
Typical High
$158.49
United
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$165.96
Typical High
$323.59
United
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$44.67
Typical High
$61.66

Where Michigan 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.

Michigan· 26th of 51

$46.77

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.