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Initial Behavioral Health Care Coordination, First Month

Illinois 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 Illinois, 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 $95.50 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 $155
FacilityA hospital or hospital-owned outpatient department$95.50$66.07 to $126

How much rates vary

Facilitymedian $95 · 10th to 90th $59 to $132Professionalmedian $117 · 10th to 90th $66 to $191
$20$50$100$200facility $95professional $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
Facility
Modifier
Global
Typical Low
$58.88
Median
$95.50
Typical High
$131.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$117.49
Typical High
$186.21
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$169.82
Typical High
$234.42
BCBS
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$446.68
Typical High
$446.68
BCBS
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$112.20
Typical High
$181.97
Cigna
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$114.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$162.18
Typical High
$275.42
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$165.96
Typical High
$389.05
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$239.88
Typical High
$275.42
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$147.91
Typical High
$251.19

Where Illinois 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.

Illinois· 35th 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.