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Initial Behavioral Health Care Coordination, First Month

Oregon 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?

$141

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $141 for this service. The price depends on where it is billed: about $138 from a physician practice, and about $209 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$138$102 to $178
FacilityA hospital or hospital-owned outpatient department$209$132 to $295

How much rates vary

Facilitymedian $209 · 10th to 90th $87 to $295Professionalmedian $138 · 10th to 90th $76 to $263
$100$200$500facility $209professional $138

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
$186.21
Median
$218.78
Typical High
$363.08
Aetna
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$131.83
Typical High
$229.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$208.93
Typical High
$407.38
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$218.78
Typical High
$363.08
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$144.54
Typical High
$239.88
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$223.87
Typical High
$363.08
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$295.12
Typical High
$295.12
Providence
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$141.25
Typical High
$245.47
Providence
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$186.21
Typical High
$363.08
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$234.42
Typical High
$371.54
United
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$229.09
Typical High
$380.19

Where Oregon 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.

Oregon· 1st of 51

$141

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.