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Initial Behavioral Health Care Coordination, First Month

Virginia 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 negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $117 for this service. The price depends on where it is billed: about $117 from a physician practice, and about $120 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$117$83.18 to $148
FacilityA hospital or hospital-owned outpatient department$120$87.10 to $158

How much rates vary

Facilitymedian $120 · 10th to 90th $74 to $200Professionalmedian $117 · 10th to 90th $66 to $170
$100$200facility $120professional $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
$66.07
Median
$87.10
Typical High
$158.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$117.49
Typical High
$165.96
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$141.25
Typical High
$223.87
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$109.65
Typical High
$134.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$154.88
Typical High
$288.40
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$144.54
Typical High
$194.98
Medcost
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$281.84
Medcost
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$134.90
Typical High
$213.80
Medcost
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$138.04
Sentara
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$138.04
Typical High
$257.04
Sentara
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$208.93
Typical High
$288.40
United
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$467.74
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$141.25
Typical High
$281.84

Where Virginia 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.

Virginia· 34th 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.