go back

Chronic Care Management Services

New Jersey 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?

$42.66

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $42.66 for this service. The price depends on where it is billed: about $42.66 from a physician practice, and about $42.66 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$42.66$35.48 to $51.29
FacilityA hospital or hospital-owned outpatient department$42.66$38.02 to $72.44

How much rates vary

Facilitymedian $43 · 10th to 90th $28 to $309Professionalmedian $43 · 10th to 90th $28 to $66
$50$100$200$500facility $43professional $43

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
$28.18
Median
$42.66
Typical High
$56.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$42.66
Typical High
$63.10
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$66.07
Typical High
$77.62
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$51.29
Median
$51.29
Typical High
$51.29
Cigna
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$54.95
Typical High
$97.72
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$100.00
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$331.13
Typical High
$489.78
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$47.86
Typical High
$85.11
United
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$426.58
United
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$43.65
Typical High
$79.43

Where New Jersey 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.

New Jersey· 46th of 51

$42.66

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.