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Initial Behavioral Health Care Coordination, First Month

Florida 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?

$123

Typical negotiated rate. In Florida, July 2026.

Insurers have agreed to pay about $123 for this service. The price depends on where it is billed: about $123 from a physician practice, and about $112 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$123$87.10 to $151
FacilityA hospital or hospital-owned outpatient department$112$100 to $132

How much rates vary

Facilitymedian $112 · 10th to 90th $76 to $282Professionalmedian $123 · 10th to 90th $71 to $186
$100$1K$10K$100Kfacility $112professional $123

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$100.00
Typical High
$131.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$123.03
Typical High
$186.21
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$151.36
Typical High
$245.47
AvMed
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$131.83
Typical High
$165.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$114.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$151.36
Typical High
$295.12
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$213,796.21
Median
$213,796.21
Typical High
$257,039.58
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$114.82
Typical High
$154.88
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$64.57
Typical High
$169.82
United
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$281.84
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$134.90
Typical High
$251.19
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$97.72
Typical High
$165.96

Where Florida 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.

Florida· 19th of 51

$123

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.