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Initial Behavioral Health Care Coordination, First Month

Washington, DC 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?

$120

Typical physician fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $120 for this service. Most negotiated rates run $87.10 to $148.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $120 · 10th to 90th $71 to $174
$100$200professional $120

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
$70.79
Median
$120.23
Typical High
$173.78
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$117.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$194.98
Typical High
$467.74
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$134.90
Typical High
$199.53
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$154.88
Typical High
$346.74

Where Washington, DC 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.

Washington, DC· 29th of 51

$120

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.