CPT 99487 · professional fee

Cplx chrnc care 1st 60 min (CPT 99487): negotiated rates by payer and state

What UnitedHealthcare, Aetna, Cigna and Blue Cross Blue Shield pay for CPT 99487, from their published in-network rate files.

Internal medicineSnapshot Aug 2026Professional fee only

National summary

Commercial in-network, four payers combined, professional fee

Median rate

$121

P10 to P90: $74 to $241

vs Medicare

84%

non-facility rate $144.29

Payer spread

1.72×

UHC $141 vs Aetna $82

State spread

3.1×

AK $232 to AL $74

5,397 sampled providers7,419 TINs51 statesSample-based · how this is calculated

What the data shows

Generated from this code's own numbers

UnitedHealthcare has the highest median for CPT 99487 in the files analyzed, at $141, 72% above Aetna ($82), the lowest of the 4 payers shown.

The state spread is 3.1×: Alaska has the highest median at $232 and Alabama the lowest at $74, a gap larger than the gap between the highest and lowest payer.

Commercial rates run 84% of the Medicare non-facility rate ($144.29), which ranks 225th of 228 tracked codes by commercial-to-Medicare ratio.

Rates are tightest within Aetna (interquartile range $19) and widest within UnitedHealthcare ($94).

This is a top-28 code for internal medicine by Medicare allowed dollars, so it carries real revenue weight for that specialty.

Rates by payer

Median of per-provider median rates, with interquartile range

Payer	Median	P25	P75	vs national	Rank	Providers	Position
UnitedHealthcare	$141	$101	$195	+16%	1	4,250	97% of Medicare
Blue Cross Blue Shield	$130	$97	$174	+7%	2	3,963	90% of Medicare
Cigna	$119	$92	$164	-2%	3	3,994	82% of Medicare
Aetna	$82	$70	$89	-33%	4	1,668	57% of Medicare

Rate distribution

Box = P25 to P75, whiskers = P10 to P90, tick = median, dashed line = Medicare non-facility ($144.29)

Rates by state

Median across payers · 51 states with enough data

Rank	State	Median	vs national	Highest payer	Lowest payer	Providers
1	Alaska	$232	+91%	BCBS	Cigna	96
2	Oregon	$231	+90%	UHC	Aetna	98
3	Minnesota	$206	+69%	UHC	Aetna	112
4	North Dakota	$204	+68%	BCBS	Aetna	105
5	Washington	$191	+57%	UHC	Aetna	109
6	Wisconsin	$181	+49%	UHC	Cigna	106
7	Massachusetts	$178	+46%	UHC	Aetna	118
8	Hawaii	$175	+44%	Cigna	UHC	71
9	New Hampshire	$172	+42%	UHC	Aetna	109
10	Wyoming	$161	+33%	BCBS	Aetna	104
11	Nebraska	$153	+26%	Cigna	UHC	89
12	Colorado	$146	+21%	UHC	Cigna	114
13	Connecticut	$146	+20%	BCBS	Aetna	118
14	Maine	$145	+20%	UHC	Aetna	118
15	Montana	$141	+16%	UHC	Cigna	101
16	Georgia	$140	+16%	UHC	Aetna	120
17	New Mexico	$131	+8%	UHC	Aetna	101
18	Iowa	$131	+7%	UHC	Aetna	99
19	District of Columbia	$130	+7%	UHC	Aetna	82
20	Vermont	$129	+6%	UHC	Cigna	100
21	South Dakota	$126	+4%	UHC	Cigna	123
22	South Carolina	$124	+2%	UHC	Aetna	99
23	Ohio	$121	-0%	UHC	Aetna	119
24	Michigan	$121	-0%	BCBS	Aetna	103
25	California	$119	-2%	UHC	Aetna	95
26	Pennsylvania	$118	-3%	UHC	Aetna	108
27	Indiana	$116	-4%	UHC	Aetna	123
28	Delaware	$116	-5%	Cigna	Aetna	107
29	Idaho	$115	-5%	BCBS	Cigna	106
30	Illinois	$115	-5%	UHC	BCBS	86
31	Virginia	$115	-5%	UHC	Aetna	96
32	Tennessee	$114	-6%	BCBS	Aetna	104
33	New York	$111	-9%	UHC	Aetna	114
34	North Carolina	$109	-10%	UHC	Aetna	122
35	Maryland	$106	-13%	UHC	Aetna	94
36	Oklahoma	$106	-13%	UHC	Aetna	109
37	West Virginia	$106	-13%	UHC	Aetna	113
38	Missouri	$106	-13%	UHC	Aetna	113
39	Rhode Island	$105	-14%	UHC	Aetna	97
40	New Jersey	$103	-15%	BCBS	Aetna	112
41	Utah	$103	-15%	UHC	BCBS	107
42	Arkansas	$102	-16%	UHC	Aetna	120
43	Texas	$101	-17%	UHC	Aetna	118
44	Kansas	$96	-21%	UHC	Cigna	101
45	Louisiana	$94	-22%	UHC	Aetna	107
46	Kentucky	$94	-22%	Cigna	BCBS	125
47	Nevada	$92	-25%	UHC	Aetna	108
48	Florida	$89	-26%	BCBS	Aetna	102
49	Mississippi	$89	-27%	BCBS	Aetna	99
50	Arizona	$84	-30%	Cigna	BCBS	95
51	Alabama	$74	-39%	Cigna	Aetna	102

Frequently asked questions

Answers use this page's data

Which payer has the highest median rate for CPT 99487?

In the files we analyzed, UnitedHealthcare, at a median of $141 across 4,250 sampled providers. Aetna is lowest at $82, 72% lower than the highest.

How does the commercial rate compare with Medicare?

The national median is 84% of the 2026 Medicare non-facility rate of $144.29.

Which state has the highest median for CPT 99487?

Alaska has the highest median at $232; Alabama has the lowest at $74.

Is this a professional fee?

These are professional (physician) fees only. Facility, device and implant payments are priced separately and are not included.

How current is this data?

It is the August 2026 snapshot of each payer's in-network rate file. Sources and filters are listed in the methodology below.

Methodology

How these numbers are calculated

Source: in-network negotiated-rate files published under the federal Transparency in Coverage rule, August 2026 snapshot: UnitedHealthcare Choice plans (74 files); Aetna commercial plans (70 files); Cigna national PPO (1 files); BCBS licensees' own-network files (5,387 files). Payer comparisons describe these files, not each payer's entire book of business.
Sample: rates come from a random sample of up to 150 providers per state and specialty. Counts on this page are sampled providers and TINs, not totals.
Which providers count: only providers in a specialty relevant to the code, because a rate in a payer file attaches to a provider group and is listed under every provider in that group.
Filters: fee-for-service, professional billing class, no modifier, negotiated or fee-schedule dollar rates. Rates outside 1% to 1,000% of the Medicare rate are excluded.
Statistic: one median rate per provider, then percentiles across providers. A cell is shown only with at least 15 sampled providers and 4 TINs.
Medicare benchmark: CY2026 national physician fee schedule, non-QPP conversion factor, unadjusted for locality. Where the non-facility rate is more than twice the facility rate (office rates that include device or supply cost), the facility rate is used so comparisons are like for like.

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