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Initial Behavioral Health Care Coordination, First Month

Maine 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?

$126

Typical physician fee. In Maine, July 2026.

Insurers have agreed to pay about $126 for this service. Most negotiated rates run $91.20 to $158.

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 $135 · 10th to 90th $78 to $166Professionalmedian $126 · 10th to 90th $72 to $186
$100$200facility $135professional $126

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
Facility
Modifier
Global
Typical Low
$77.62
Median
$134.90
Typical High
$165.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$123.03
Typical High
$177.83
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$134.90
Typical High
$263.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$169.82
Typical High
$302.00
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$165.96
Typical High
$316.23
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$123.03
Typical High
$181.97
United
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$194.98
Typical High
$302.00

Where Maine 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.

Maine· 14th of 51

$126

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.