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Initial Behavioral Health Care Coordination, First Month

Arizona rates for HCPCS 99492

This service covers the first month of a structured, team-based approach to treating a behavioral health condition such as depression or anxiety within a primary care setting. A care manager works with the patient to assess their condition using standardized tools, develop a care plan, and coordinate with both the primary care provider and a consulting psychiatric specialist. It reflects a substantial amount of care-coordination time during the patient's first month in this program.

Rates data updated July 2026.

How much does Initial Behavioral Health Care Coordination, First Month cost?

$117

Typical negotiated rate. In Arizona, July 2026.

Insurers have agreed to pay about $117 for this service. The price depends on where it is billed: about $117 from a physician practice, and about $115 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 6 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$117$81.28 to $145
FacilityA hospital or hospital-owned outpatient department$115$85.11 to $155

How much rates vary

Facilitymedian $115 · 10th to 90th $72 to $195Professionalmedian $117 · 10th to 90th $68 to $170
$100$200facility $115professional $117

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
$53.70
Median
$72.44
Typical High
$114.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$117.49
Typical High
$169.82
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$147.91
Typical High
$239.88
BCBS
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$91.20
Typical High
$102.33
BCBS
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$107.15
Typical High
$169.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$114.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$151.36
Typical High
$295.12
Medica
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$117.49
Typical High
$208.93
Medica
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$234.42
Typical High
$954.99
United
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$147.91
Typical High
$234.42
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$141.25
Typical High
$239.88

Where Arizona 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.

Arizona· 40th of 51

$117

OR $141SD $107

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.