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Chronic Care Management Services

Tennessee 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?

$45.71

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $45.71 for this service. The price depends on where it is billed: about $45.71 from a physician practice, and about $51.29 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$45.71$36.31 to $54.95
FacilityA hospital or hospital-owned outpatient department$51.29$35.48 to $100

How much rates vary

Facilitymedian $51 · 10th to 90th $35 to $316Professionalmedian $46 · 10th to 90th $29 to $66
$20$50$100$200facility $51professional $46

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
$30.90
Median
$35.48
Typical High
$66.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$44.67
Typical High
$63.10
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$48.98
Median
$48.98
Typical High
$77.62
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$61.66
Typical High
$66.07
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$66.07
Median
$70.79
Typical High
$75.86
BCBS
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$60.26
Typical High
$89.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$53.70
Typical High
$89.13
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$316.23
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$398.11
United
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$181.97
United
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$41.69
Typical High
$70.79

Where Tennessee 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.

Tennessee· 35th of 51

$45.71

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.