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Ongoing Behavioral Health Care Coordination, Monthly

Idaho rates for HCPCS 99493

This service covers a month of ongoing care coordination for a behavioral health condition, such as depression or anxiety, delivered by a care manager working with a primary care team and a consulting psychiatric provider. It includes time spent tracking the patient's symptoms with standardized tools, adjusting the care plan, and coordinating between the primary care and behavioral health providers, for a patient already established in this coordinated care approach. It reflects a defined block of care-coordination time in a given month after the first month of this service.

Rates data updated July 2026.

How much does Ongoing Behavioral Health Care Coordination, Monthly cost?

$115

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $115 for this service. The price depends on where it is billed: about $115 from a physician practice, and about $129 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$115$89.13 to $148
FacilityA hospital or hospital-owned outpatient department$129$100 to $162

How much rates vary

Facilitymedian $129 · 10th to 90th $83 to $191Professionalmedian $115 · 10th to 90th $71 to $186
$100$200$500facility $129professional $115

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
$128.82
Median
$154.88
Typical High
$181.97
Aetna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$112.20
Typical High
$181.97
BCBS
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
BCBS
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$208.93
Typical High
$269.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$173.78
Typical High
$263.03
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$125.89
Typical High
$190.55
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$204.17
Typical High
$288.40
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$177.83
Typical High
$245.47
Select Health
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$117.49
Typical High
$190.55
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$131.83
Typical High
$213.80

Where Idaho 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.

Idaho· 10th of 51

$115

MN $123AL $100

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.