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Initial Behavioral Health Care Coordination, First Month

Indiana 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?

$112

Typical physician fee. In Indiana, July 2026.

Insurers have agreed to pay about $112 for this service. Most negotiated rates run $77.62 to $141.

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 $91 · 10th to 90th $55 to $195Professionalmedian $112 · 10th to 90th $66 to $170
$100$200facility $91professional $112

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
$54.95
Median
$91.20
Typical High
$194.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$112.20
Typical High
$165.96
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$165.96
Typical High
$257.04
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$128.82
Typical High
$199.53
CareSource
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$89.13
Typical High
$107.15
CareSource
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$81.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$141.25
Typical High
$213.80
United
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$134.90
Typical High
$213.80

Where Indiana 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.

Indiana· 46th of 51

$112

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.