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Initial Behavioral Health Care Coordination, First Month

Massachusetts 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?

$135

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $135 for this service. The price depends on where it is billed: about $135 from a physician practice, and about $158 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$135$93.33 to $178
FacilityA hospital or hospital-owned outpatient department$158$89.13 to $182

How much rates vary

Facilitymedian $158 · 10th to 90th $58 to $240Professionalmedian $135 · 10th to 90th $72 to $275
$50$100$200$500facility $158professional $135

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
$89.13
Median
$181.97
Typical High
$239.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$125.89
Typical High
$239.88
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$575.44
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$190.55
Typical High
$954.99
BCBS
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$141.25
Typical High
$162.18
BCBS
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$204.17
Typical High
$338.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$194.98
Typical High
$398.11
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$85.11
Typical High
$158.49
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$169.82
Typical High
$309.03
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$177.83
Typical High
$363.08
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$575.44
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$190.55
Typical High
$954.99
United
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$169.82
United
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$194.98
Typical High
$436.52

Where Massachusetts 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.

Massachusetts· 8th of 51

$135

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.