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Initial Behavioral Health Care Coordination, First Month

Ohio 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 physician fee. In Ohio, July 2026.

Insurers have agreed to pay about $117 for this service. Most negotiated rates run $85.11 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 9 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $87 · 10th to 90th $55 to $457Professionalmedian $117 · 10th to 90th $68 to $186
$100$200$500facility $87professional $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
$54.95
Median
$87.10
Typical High
$457.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$117.49
Typical High
$173.78
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$151.36
Typical High
$269.15
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$134.90
Typical High
$234.42
CareSource
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$89.13
Typical High
$100.00
CareSource
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$117.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$151.36
Typical High
$275.42
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$144.54
Typical High
$251.19
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$134.90
Typical High
$239.88
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$134.90
Typical High
$234.42

Where Ohio 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.

Ohio· 36th 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.