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Initial Behavioral Health Care Coordination, First Month

Vermont 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 physician fee. In Vermont, July 2026.

Insurers have agreed to pay about $141 for this service. Most negotiated rates run $112 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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $135 · 10th to 90th $89 to $162Professionalmedian $141 · 10th to 90th $79 to $191
$100$200facility $135professional $141

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$134.90
Typical High
$162.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$141.25
Typical High
$186.21
BCBS
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$234.42
Typical High
$234.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$158.49
Typical High
$269.15
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$199.53
Typical High
$338.84
United
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$181.97
Typical High
$316.23

Where Vermont 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.

Vermont· 3rd 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.