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Ongoing Behavioral Health Care Coordination, Monthly

Kentucky 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?

$102

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $102 for this service. The price depends on where it is billed: about $102 from a physician practice, and about $95.50 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$102$81.28 to $126
FacilityA hospital or hospital-owned outpatient department$95.50$77.62 to $110

How much rates vary

Facilitymedian $95 · 10th to 90th $71 to $129Professionalmedian $102 · 10th to 90th $68 to $155
$100$200$500facility $95professional $102

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
$89.13
Typical High
$120.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$102.33
Typical High
$158.49
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
$114.82
Median
$117.49
Typical High
$154.88
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$93.33
Typical High
$131.83
CareSource
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$95.50
Typical High
$128.82
CareSource
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$128.82
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
$83.18
Median
$154.88
Typical High
$691.83
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$75.86
United
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$109.65
Typical High
$186.21

Where Kentucky 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.

Kentucky· 49th of 51

$102

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.