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Initial Behavioral Health Care Coordination, First Month

Tennessee 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?

$126

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $126 for this service. The price depends on where it is billed: about $126 from a physician practice, and about $123 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 6 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$126$91.20 to $155
FacilityA hospital or hospital-owned outpatient department$123$115 to $155

How much rates vary

Facilitymedian $123 · 10th to 90th $74 to $174Professionalmedian $126 · 10th to 90th $72 to $186
$100$200$500facility $123professional $126

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
$70.79
Median
$117.49
Typical High
$154.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$125.89
Typical High
$186.21
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$151.36
Typical High
$288.40
BCBS
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$141.25
Typical High
$251.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$154.88
Typical High
$263.03
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$575.44
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$954.99
United
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$147.91
Typical High
$234.42
United
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$144.54
Typical High
$251.19

Where Tennessee 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.

Tennessee· 15th of 51

$126

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.