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Monthly Behavioral Health Care Coordination

New Jersey 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?

$36.31

Typical physician fee. In New Jersey, July 2026.

Insurers have agreed to pay about $36.31 for this service. Most negotiated rates run $28.18 to $44.67.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $30 · 10th to 90th $19 to $44Professionalmedian $36 · 10th to 90th $23 to $54
$20$50$100facility $30professional $36

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
$19.50
Median
$28.18
Typical High
$43.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$36.31
Typical High
$51.29
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$52.48
Typical High
$83.18
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$36.31
Median
$36.31
Typical High
$36.31
AmeriHealth
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$81.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$54.95
Typical High
$93.33
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$87.10
Typical High
$114.82
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$93.33
Typical High
$151.36
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$53.70
Typical High
$89.13
United
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$46.77
Typical High
$85.11

Where New Jersey sits

Rates are fairly even across states for this service. 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.

New Jersey· 38th of 51

$36.31

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.