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Chronic Care Management Services

Ohio 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 Ohio, 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 $60.26 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 9 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$38.90 to $60.26
FacilityA hospital or hospital-owned outpatient department$60.26$46.77 to $112

How much rates vary

Facilitymedian $60 · 10th to 90th $39 to $120Professionalmedian $49 · 10th to 90th $32 to $79
$1.0$10.0$100.0facility $60professional $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
$42.66
Median
$60.26
Typical High
$120.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$48.98
Typical High
$75.86
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$61.66
Typical High
$67.61
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$41.69
Median
$63.10
Typical High
$66.07
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$46.77
Typical High
$83.18
CareSource
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$43.65
Typical High
$56.23
CareSource
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$58.88
Typical High
$79.43
Cigna
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$61.66
Cigna
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$57.54
Typical High
$87.10
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$87.10
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$56.23
Typical High
$85.11
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$66.07
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$204.17
Typical High
$316.23
United
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$43.65
Typical High
$74.13

Where Ohio 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.

Ohio $48.98 · 21st 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.