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Initial Behavioral Health Care Coordination, First Month

Colorado 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 Colorado, 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 $132 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 7 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$83.18 to $148
FacilityA hospital or hospital-owned outpatient department$132$87.10 to $170

How much rates vary

Facilitymedian $132 · 10th to 90th $76 to $214Professionalmedian $117 · 10th to 90th $68 to $174
$100$200facility $132professional $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
Professional
Modifier
Global
Typical Low
$66.07
Median
$117.49
Typical High
$173.78
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$134.90
Typical High
$251.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$173.78
Typical High
$295.12
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$131.83
Typical High
$213.80
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$457.09
Typical High
$467.74
Select Health
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$95.50
Select Health
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$93.33
Typical High
$147.91
United
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$181.97
United
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$162.18
Typical High
$288.40

Where Colorado 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.

Colorado· 41st 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.