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Initial Behavioral Health Care Coordination, First Month

Idaho 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?

$132

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $132 for this service. The price depends on where it is billed: about $132 from a physician practice, and about $141 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$132$91.20 to $174
FacilityA hospital or hospital-owned outpatient department$141$93.33 to $186

How much rates vary

Facilitymedian $141 · 10th to 90th $78 to $229Professionalmedian $132 · 10th to 90th $71 to $224
$100$200$500facility $141professional $132

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
$117.49
Median
$186.21
Typical High
$229.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$128.82
Typical High
$218.78
BCBS
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
BCBS
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$190.55
Typical High
$302.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$177.83
Typical High
$275.42
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$131.83
Typical High
$229.09
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$263.03
Typical High
$323.59
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$173.78
Typical High
$245.47
Select Health
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$104.71
Typical High
$173.78
United
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$158.49
Typical High
$257.04

Where Idaho 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.

Idaho· 10th of 51

$132

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.