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Initial Behavioral Health Care Coordination, First Month

South Dakota 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?

$107

Typical physician fee. In South Dakota, July 2026.

Insurers have agreed to pay about $107 for this service. Most negotiated rates run $77.62 to $138.

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 $87 · 10th to 90th $59 to $162Professionalmedian $107 · 10th to 90th $63 to $174
$100$200facility $87professional $107

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
$52.48
Median
$69.18
Typical High
$114.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$102.33
Typical High
$165.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$213.80
Typical High
$346.74
Medica
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$120.23
Typical High
$194.98
Medica
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$575.44
Typical High
$954.99
Midlands
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$218.78
Typical High
$302.00
Midlands
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$234.42
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$181.97
Typical High
$257.04
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$169.82
Typical High
$323.59
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$117.49
Typical High
$229.09

Where South Dakota 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.

South Dakota· 51st of 51

$107

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.