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Chronic Care Management Services

Missouri 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?

$48.98

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $48.98 for this service. The price depends on where it is billed: about $48.98 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$48.98$39.81 to $61.66
FacilityA hospital or hospital-owned outpatient department$56.23$43.65 to $77.62

How much rates vary

Facilitymedian $56 · 10th to 90th $39 to $85Professionalmedian $49 · 10th to 90th $34 to $81
$20$50$100$200facility $56professional $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
$43.65
Median
$64.57
Typical High
$83.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$48.98
Typical High
$81.28
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$60.26
Typical High
$74.13
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$66.07
Median
$66.07
Typical High
$70.79
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$41.69
Typical High
$81.28
BCBS
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$64.57
Typical High
$91.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$58.88
Typical High
$91.20
Medica
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$52.48
Typical High
$97.72
Medica
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$58.88
Typical High
$398.11
United
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$85.11
Typical High
$537.03
United
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$45.71
Typical High
$74.13

Where Missouri 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.

Missouri· 17th of 51

$48.98

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.