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Chronic Condition Management By Your Own Clinician

Missouri rates for HCPCS 99491

This covers a monthly block of time that a physician or other qualified clinician personally spends managing a patient's two or more ongoing chronic health conditions, rather than delegating that work to clinical staff. It typically involves reviewing the patient's overall health status, adjusting treatment plans, and coordinating with other providers involved in the patient's care. It applies to conditions expected to last at least several months or for the rest of the patient's life.

Rates data updated October 2026.

How much does Chronic Condition Management By Your Own Clinician cost?

$83.18

Typical physician fee. In Missouri, October 2026.

Insurers have agreed to pay about $83.18 for this service. Most negotiated rates run $72.44 to $93.33.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $200 · 10th to 90th $63 to $339Professionalmedian $83 · 10th to 90th $59 to $178
$100$200$500facility $200professional $83

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
$52.48
Median
$58.88
Typical High
$138.04
Aetna
Setting
Professional
Modifier
None
Typical Low
$52.48
Median
$63.10
Typical High
$74.13
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$26.30
Median
$29.51
Typical High
$35.48
Ambetter
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$89.13
Typical High
$95.50
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$87.10
Typical High
$102.33
BCBS Kansas City
Setting
Professional
Modifier
None
Typical Low
$66.07
Median
$85.11
Typical High
$120.23
Cigna
Setting
Professional
Modifier
None
Typical Low
$67.61
Median
$83.18
Typical High
$134.90
Medica
Setting
Facility
Modifier
None
Typical Low
$69.18
Median
$288.40
Typical High
$338.84
Medica
Setting
Professional
Modifier
None
Typical Low
$87.10
Median
$478.63
Typical High
$524.81
Qualchoice
Setting
Professional
Modifier
None
Typical Low
$93.33
Median
$109.65
Typical High
$109.65
United
Setting
Professional
Modifier
None
Typical Low
$69.18
Median
$100.00
Typical High
$141.25

Where Missouri sits

The same service costs 3.0 times more in Alaska than in New York. 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.

Missouri· 19th of 51

$83.18

AK $162NY $54.95

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.