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Initial Behavioral Health Care Coordination, First Month

New Mexico 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 negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $120 for this service. The price depends on where it is billed: about $120 from a physician practice, and about $129 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$120$83.18 to $145
FacilityA hospital or hospital-owned outpatient department$129$85.11 to $162

How much rates vary

Facilitymedian $129 · 10th to 90th $74 to $182Professionalmedian $120 · 10th to 90th $68 to $174
$100$200facility $129professional $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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$87.10
Typical High
$169.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$123.03
Typical High
$173.78
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$131.83
Typical High
$208.93
BCBS
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$89.13
Typical High
$128.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$154.88
Typical High
$251.19
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
Providence
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$131.83
Typical High
$190.55
Providence
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$151.36
Typical High
$257.04
United
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
United
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$173.78
Typical High
$302.00

Where New Mexico 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 Mexico· 30th 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.