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Initial Behavioral Health Care Coordination, First Month

Maryland 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?

$120

Typical physician fee. In Maryland, July 2026.

Insurers have agreed to pay about $120 for this service. Most negotiated rates run $85.11 to $148.

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 $65 · 10th to 90th $65 to $115Professionalmedian $120 · 10th to 90th $68 to $178
$100$200facility $65professional $120

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
Professional
Modifier
Global
Typical Low
$67.61
Median
$117.49
Typical High
$173.78
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$109.65
Typical High
$181.97
Cigna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$158.49
Typical High
$323.59
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$134.90
Typical High
$194.98
United
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$114.82
United
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$141.25
Typical High
$275.42
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$169.82
Typical High
$245.47

Where Maryland 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.

Maryland· 33rd of 51

$120

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.