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Initial Behavioral Health Care Coordination, First Month

Missouri 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 Missouri, 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 $126 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$117$81.28 to $151
FacilityA hospital or hospital-owned outpatient department$126$89.13 to $162

How much rates vary

Facilitymedian $126 · 10th to 90th $74 to $240Professionalmedian $117 · 10th to 90th $66 to $191
$100$200$500facility $126professional $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
$144.54
Median
$151.36
Typical High
$257.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$120.23
Typical High
$190.55
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$199.53
Typical High
$269.15
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$97.72
Typical High
$181.97
BCBS
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$154.88
Typical High
$229.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$147.91
Typical High
$288.40
Medica
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$117.49
Typical High
$199.53
Medica
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$204.17
Typical High
$954.99
Qualchoice
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$194.98
Typical High
$229.09
United
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$223.87
United
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$141.25
Typical High
$234.42

Where Missouri 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.

Missouri· 38th 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.