Chronic Care Management, Each Additional 20 Minutes

Nationwide rates for HCPCS G2058

Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (Do not report G2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month.) (Use G2058 in conjunction with 99490.) (Do not report 99490, G2058 in the same calendar month as 99487, 99489, 99491.)

Rates data updated July 2026.

How much does Chronic Care Management, Each Additional 20 Minutes cost?

$38.90

Typical negotiated rate. Nationwide, July 2026.

Insurers have agreed to pay about $38.90 for this service. The price depends on where it is billed: about $36.31 from a physician practice, and about $100 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 19 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed by	Who charges it	Typical	Range
Physician practiceA doctor's office, clinic or independent provider	A doctor's office, clinic or independent provider	$36.31	$30.20 to $40.74
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$100	$100 to $145

How much rates vary

Facilitymedian $100 · 10th to 90th $89 to $275Professionalmedian $36 · 10th to 90th $29 to $49

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	Facility/Professional	Modifier	Typical Low	Median	Typical High
BCBS Setting Professional Modifier Global Typical Low $35.48 Median $35.48 Typical High $53.70	Professional	Global	$35.48	$35.48	$53.70
Cigna Setting Facility Modifier Global Typical Low $93.33 Median $123.03 Typical High $346.74	Facility	Global	$93.33	$123.03	$346.74
Cigna Setting Professional Modifier Global Typical Low $28.84 Median $38.90 Typical High $48.98	Professional	Global	$28.84	$38.90	$48.98
United Setting Facility Modifier Global Typical Low $33.11 Median $46.77 Typical High $72.44	Facility	Global	$33.11	$46.77	$72.44
United Setting Professional Modifier Global Typical Low $30.20 Median $39.81 Typical High $58.88	Professional	Global	$30.20	$39.81	$58.88

What it costs in each state

The same service costs 3.3 times more in Texas than in South Carolina. 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.

Touch or drag across the chart to see any state's rate.

TX $100SC $30.20

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.