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Chronic Care Management Services

Utah 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 Utah, 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 $43.65 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$45.71$38.02 to $61.66
FacilityA hospital or hospital-owned outpatient department$43.65$33.88 to $132

How much rates vary

Facilitymedian $44 · 10th to 90th $34 to $191Professionalmedian $46 · 10th to 90th $33 to $71
$20.0$50.0$100.0$200.0facility $44professional $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
$33.88
Median
$33.88
Typical High
$43.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$44.67
Typical High
$67.61
Cigna
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$51.29
Typical High
$79.43
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$57.54
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$181.97
Typical High
$275.42
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$61.66
Typical High
$79.43
Select Health
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$77.62
Typical High
$77.62
Select Health
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$47.86
Typical High
$56.23
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$72.44
Typical High
$93.33
United
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$181.97
United
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$45.71
Typical High
$72.44

Where Utah 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.

Utah $45.71 · 29th 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.