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Initial Behavioral Health Care Coordination, First Month

Utah 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?

$138

Typical physician fee. In Utah, July 2026.

Insurers have agreed to pay about $138 for this service. Most negotiated rates run $93.33 to $174.

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 $123 · 10th to 90th $93 to $162Professionalmedian $138 · 10th to 90th $74 to $240
$100$200$500facility $123professional $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
$93.33
Median
$123.03
Typical High
$162.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$138.04
Typical High
$234.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$165.96
Typical High
$263.03
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$223.87
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$151.36
Typical High
$245.47
Select Health
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$109.65
Select Health
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$100.00
Typical High
$165.96
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$190.55
Typical High
$288.40
United
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$138.04
Typical High
$223.87

Where Utah 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.

Utah· 6th of 51

$138

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.