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Chronic Care Management Services

Oregon 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?

$61.66

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $61.66 for this service. The price depends on where it is billed: about $61.66 from a physician practice, and about $74.13 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 8 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$61.66$42.66 to $89.13
FacilityA hospital or hospital-owned outpatient department$74.13$48.98 to $117

How much rates vary

Facilitymedian $74 · 10th to 90th $39 to $123Professionalmedian $62 · 10th to 90th $36 to $132
$50$100$200facility $74professional $62

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
$93.33
Typical High
$147.91
Aetna
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$51.29
Typical High
$112.20
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$42.66
Median
$54.95
Typical High
$67.61
Cigna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$104.71
Typical High
$165.96
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$97.72
Typical High
$151.36
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$32.36
Median
$50.12
Typical High
$77.62
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$100.00
Typical High
$158.49
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$102.33
Typical High
$123.03
Providence
Setting
Facility
Modifier
Global
Typical Low
$32.36
Median
$48.98
Typical High
$79.43
Providence
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$79.43
Typical High
$144.54
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$288.40
Typical High
$354.81
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$107.15
Typical High
$162.18
United
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$309.03
United
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$74.13
Typical High
$144.54

Where Oregon 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.

Oregon· 3rd of 51

$61.66

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.