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Monthly Behavioral Health Care Coordination

North Carolina rates for HCPCS 99484

This is a monthly bundle of care management services for a patient being treated for a behavioral health condition, such as depression or anxiety, typically in a primary care setting. It includes activities like care planning, monitoring symptoms, and coordinating with a treatment team, rather than a face-to-face therapy session itself. It supports ongoing management between visits.

Rates data updated July 2026.

How much does Monthly Behavioral Health Care Coordination cost?

$40.74

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $40.74 for this service. The price depends on where it is billed: about $40.74 from a physician practice, and about $43.65 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 8 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$40.74$31.62 to $50.12
FacilityA hospital or hospital-owned outpatient department$43.65$31.62 to $56.23

How much rates vary

Facilitymedian $44 · 10th to 90th $26 to $71Professionalmedian $41 · 10th to 90th $26 to $69
$20.0$50.0$100.0$200.0facility $44professional $41

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
$29.51
Median
$46.77
Typical High
$128.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$38.90
Typical High
$56.23
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$51.29
Typical High
$58.88
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$36.31
Median
$45.71
Typical High
$54.95
BCBS
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$46.77
Typical High
$93.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$60.26
Typical High
$100.00
Medcost
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$42.66
Typical High
$66.07
Medcost
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$41.69
Typical High
$41.69
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$52.48
Typical High
$60.26
United
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$46.77
Typical High
$75.86
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$186.21
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$309.03

Where North Carolina sits

Rates are fairly even across states for this service. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

North Carolina $40.74 · 7th of 51
CA $42.66KS $33.88

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.