go back

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 October 2026.

How much does Chronic Care Management Services cost?

$57.54

Typical negotiated rate. In Utah, October 2026.

Insurers have agreed to pay about $57.54 for this service. The price depends on where it is billed: about $57.54 from a physician practice, and about $132 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$57.54$48.98 to $66.07
FacilityA hospital or hospital-owned outpatient department$132$43.65 to $191

How much rates vary

Facilitymedian $132 · 10th to 90th $34 to $240Professionalmedian $58 · 10th to 90th $38 to $72
$50$100$200facility $132professional $58

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$33.88
Median
$33.88
Typical High
$43.65
Aetna
Setting
Professional
Modifier
None
Typical Low
$33.88
Median
$43.65
Typical High
$43.65
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$16.98
Median
$21.88
Typical High
$21.88
Cigna
Setting
Professional
Modifier
None
Typical Low
$38.90
Median
$50.12
Typical High
$72.44
Molina
Setting
Professional
Modifier
None
Typical Low
$48.98
Median
$64.57
Typical High
$69.18
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$138.04
Median
$190.55
Typical High
$275.42
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$48.98
Median
$61.66
Typical High
$72.44
Select Health
Setting
Facility
Modifier
None
Typical Low
$77.62
Median
$77.62
Typical High
$77.62
Select Health
Setting
Professional
Modifier
None
Typical Low
$35.48
Median
$41.69
Typical High
$54.95
U of Utah Health Plan
Setting
Professional
Modifier
None
Typical Low
$46.77
Median
$63.10
Typical High
$93.33
United
Setting
Professional
Modifier
None
Typical Low
$30.90
Median
$41.69
Typical High
$70.79

Where Utah sits

The same service costs 4.1 times more in Alaska than in Kentucky. 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.

Utah· 15th of 51

$57.54

AK $117KY $28.84

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.