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Chronic Care Management Services

South 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?

$51.29

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $51.29 for this service. The price depends on where it is billed: about $51.29 from a physician practice, and about $47.86 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$51.29$41.69 to $61.66
FacilityA hospital or hospital-owned outpatient department$47.86$40.74 to $52.48

How much rates vary

Facilitymedian $48 · 10th to 90th $32 to $63Professionalmedian $51 · 10th to 90th $31 to $81
$10$20$50$100$200facility $48professional $51

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
$52.48
Typical High
$52.48
Aetna
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$51.29
Typical High
$81.28
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$61.66
Typical High
$64.57
Cigna
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$51.29
Typical High
$87.10
Medcost
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$46.77
Typical High
$63.10
Medcost
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$27.54
Typical High
$27.54
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$426.58
Typical High
$676.08
United
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$40.74
Typical High
$72.44

Where South 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.

South Carolina· 13th of 51

$51.29

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.