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Ongoing Behavioral Health Care Coordination, Monthly

Illinois 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?

$107

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $107 for this service. The price depends on where it is billed: about $107 from a physician practice, and about $89.13 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 7 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$107$85.11 to $132
FacilityA hospital or hospital-owned outpatient department$89.13$72.44 to $120

How much rates vary

Facilitymedian $89 · 10th to 90th $65 to $145Professionalmedian $107 · 10th to 90th $69 to $174
$20$50$100$200facility $89professional $107

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
$64.57
Median
$89.13
Typical High
$134.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$104.71
Typical High
$162.18
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$186.21
Typical High
$213.80
BCBS
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$407.38
Typical High
$407.38
BCBS
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$107.15
Typical High
$173.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$154.88
Typical High
$245.47
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$158.49
Typical High
$331.13
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$239.88
Typical High
$275.42
United
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$128.82
Typical High
$208.93

Where Illinois 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.

Illinois· 28th of 51

$107

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.