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Initial Behavioral Health Care Coordination, First Month

North Carolina 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?

$132

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $132 for this service. The price depends on where it is billed: about $129 from a physician practice, and about $145 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 7 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$129$91.20 to $166
FacilityA hospital or hospital-owned outpatient department$145$91.20 to $186

How much rates vary

Facilitymedian $145 · 10th to 90th $78 to $229Professionalmedian $129 · 10th to 90th $71 to $224
$100$200$500facility $145professional $129

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
$91.20
Median
$162.18
Typical High
$426.58
Aetna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$131.83
Typical High
$218.78
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$208.93
Typical High
$269.15
BCBS
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$123.03
Typical High
$281.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$173.78
Typical High
$309.03
Medcost
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$131.83
Typical High
$208.93
Medcost
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$138.04
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$144.54
Typical High
$257.04
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$575.44
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$954.99

Where North Carolina 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.

North Carolina· 11th of 51

$132

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.