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Chronic Care Management Services

New Mexico 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 New Mexico, 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 $52.48 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$40.74 to $60.26
FacilityA hospital or hospital-owned outpatient department$52.48$42.66 to $102

How much rates vary

Facilitymedian $52 · 10th to 90th $35 to $347Professionalmedian $49 · 10th to 90th $34 to $79
$100.0$1.0K$10.0K$100.0Kfacility $52professional $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
$69.18
Median
$89.13
Typical High
$104.71
Aetna
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$47.86
Typical High
$79.43
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$42.66
Median
$54.95
Typical High
$67.61
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$63.10
BCBS
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$295.12
Typical High
$478.63
BCBS
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$57.54
Typical High
$77.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$56.23
Typical High
$93.33
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$97.72
Providence
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$45.71
Typical High
$61.66
Providence
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$56.23
Typical High
$93.33
United
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$446.68
United
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$54.95
Typical High
$77.62

Where New Mexico 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.

New Mexico $48.98 · 20th 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.