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Initial Behavioral Health Care Coordination, First Month

Washington 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?

$135

Typical negotiated rate. In Washington, July 2026.

Insurers have agreed to pay about $135 for this service. The price depends on where it is billed: about $132 from a physician practice, and about $141 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 11 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$132$100 to $174
FacilityA hospital or hospital-owned outpatient department$141$97.72 to $186

How much rates vary

Facilitymedian $141 · 10th to 90th $79 to $240Professionalmedian $132 · 10th to 90th $74 to $234
$100$200$500facility $141professional $132

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
$218.78
Median
$218.78
Typical High
$363.08
Aetna
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$131.83
Typical High
$218.78
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$229.09
Typical High
$302.00
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$302.00
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$204.17
Typical High
$338.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$186.21
Typical High
$346.74
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$138.04
Typical High
$234.42
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$131.83
Typical High
$218.78
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$56.23
Typical High
$162.18
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$295.12
Typical High
$295.12
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$199.53
Typical High
$371.54
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$302.00
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$204.17
Typical High
$316.23
United
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$371.54
Typical High
$478.63
United
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$204.17
Typical High
$363.08
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$165.96
Typical High
$234.42

Where Washington 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.

Washington· 7th of 51

$135

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.