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Initial Behavioral Health Care Coordination, First Month

Georgia 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 physician fee. In Georgia, July 2026.

Insurers have agreed to pay about $117 for this service. Most negotiated rates run $87.10 to $145.

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.

How much rates vary

Facilitymedian $102 · 10th to 90th $74 to $224Professionalmedian $117 · 10th to 90th $72 to $174
$100$200facility $102professional $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. 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
$74.13
Median
$91.20
Typical High
$120.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$117.49
Typical High
$169.82
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$151.36
Typical High
$257.04
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$138.04
Typical High
$194.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$165.96
Typical High
$302.00
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$162.18
Typical High
$407.38
United
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$223.87
United
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$154.88
Typical High
$269.15

Where Georgia 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.

Georgia· 37th 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.