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Chronic Care Management Services

North Carolina 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 North Carolina, July 2026.

Insurers have agreed to pay about $50.12 for this service. The price depends on where it is billed: about $50.12 from a physician practice, and about $54.95 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$50.12$38.02 to $61.66
FacilityA hospital or hospital-owned outpatient department$54.95$45.71 to $74.13

How much rates vary

Facilitymedian $55 · 10th to 90th $37 to $100Professionalmedian $50 · 10th to 90th $30 to $79
$10$20$50$100facility $55professional $50

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
$50.12
Median
$77.62
Typical High
$114.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$48.98
Typical High
$66.07
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$48.98
Median
$77.62
Typical High
$77.62
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$63.10
Typical High
$85.11
BCBS
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$52.48
Typical High
$83.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$57.54
Typical High
$93.33
Medcost
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$50.12
Typical High
$67.61
United
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$43.65
Typical High
$72.44
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$316.23
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$398.11

Where North Carolina 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.

North Carolina· 14th 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.