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Chronic Care Management Services

West Virginia 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?

$48.98

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $48.98 for this service. The price depends on where it is billed: about $47.86 from a physician practice, and about $112 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 5 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$47.86$38.90 to $60.26
FacilityA hospital or hospital-owned outpatient department$112$97.72 to $178

How much rates vary

Facilitymedian $112 · 10th to 90th $43 to $195Professionalmedian $48 · 10th to 90th $30 to $100
$10.0$20.0$50.0$100.0$200.0facility $112professional $48

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
$51.29
Median
$112.20
Typical High
$194.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$47.86
Typical High
$100.00
CareSource
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$38.90
Typical High
$52.48
CareSource
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$57.54
Typical High
$58.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$61.66
Cigna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$61.66
Typical High
$316.23
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$154.88
Typical High
$275.42
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$66.07
Typical High
$69.18
United
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$281.84
United
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$44.67
Typical High
$70.79

Where West Virginia 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.

West Virginia $48.98 · 18th 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.