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Chronic Care Management Services

Montana 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?

$58.88

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $58.88 for this service. The price depends on where it is billed: about $57.54 from a physician practice, and about $72.44 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 6 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$57.54$42.66 to $75.86
FacilityA hospital or hospital-owned outpatient department$72.44$52.48 to $107

How much rates vary

Facilitymedian $72 · 10th to 90th $43 to $115Professionalmedian $58 · 10th to 90th $35 to $95
$100.0$1.0K$10.0K$100.0Kfacility $72professional $58

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
$53.70
Median
$138.04
Typical High
$138.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$52.48
Typical High
$89.13
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$42.66
Median
$54.95
Typical High
$67.61
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$75,857.76
Typical High
$91,201.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$89.13
Typical High
$97.72
Cigna
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$97.72
Typical High
$117.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$66.07
Typical High
$97.72
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$85.11
Typical High
$109.65
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$85.11
Typical High
$109.65
Providence
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$48.98
Typical High
$79.43
Providence
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$77.62
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$67.61
Typical High
$67.61
United
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$63.10
Typical High
$87.10

Where Montana sits

The same service costs 2.5 times more in Minnesota than in Vermont. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Montana $58.88 · 7th of 51
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.