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Ongoing Behavioral Health Care Coordination, Monthly

Massachusetts 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?

$117

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $117 for this service. The price depends on where it is billed: about $117 from a physician practice, and about $132 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 9 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$117$91.20 to $155
FacilityA hospital or hospital-owned outpatient department$132$81.28 to $162

How much rates vary

Facilitymedian $132 · 10th to 90th $62 to $191Professionalmedian $117 · 10th to 90th $72 to $263
$50$100$200$500facility $132professional $117

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
$81.28
Median
$144.54
Typical High
$190.55
Aetna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$109.65
Typical High
$190.55
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$630.96
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$169.82
Typical High
$912.01
BCBS
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$151.36
Typical High
$162.18
BCBS
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$190.55
Typical High
$302.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$186.21
Typical High
$363.08
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$89.13
Typical High
$162.18
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$151.36
Typical High
$269.15
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$173.78
Typical High
$338.84
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$630.96
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$169.82
Typical High
$912.01
Tufts
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$141.25
Typical High
$257.04
United
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$162.18
United
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$173.78
Typical High
$389.05

Where Massachusetts 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.

Massachusetts· 5th of 51

$117

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.