go back

Initial Behavioral Health Care Coordination, First Month

New Jersey 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?

$123

Typical physician fee. In New Jersey, July 2026.

Insurers have agreed to pay about $123 for this service. Most negotiated rates run $83.18 to $151.

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.

How much rates vary

Facilitymedian $89 · 10th to 90th $59 to $145Professionalmedian $123 · 10th to 90th $68 to $182
$100$200$500facility $89professional $123

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
$58.88
Median
$89.13
Typical High
$144.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$117.49
Typical High
$173.78
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$165.96
Typical High
$269.15
AmeriHealth
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$181.97
Typical High
$380.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$154.88
Typical High
$281.84
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$245.47
Typical High
$323.59
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$288.40
Typical High
$407.38
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$181.97
Typical High
$295.12
United
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$134.90
Typical High
$281.84

Where New Jersey 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.

New Jersey· 21st of 51

$123

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.