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Ongoing Behavioral Health Care Coordination, Monthly

Maine 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?

$112

Typical physician fee. In Maine, July 2026.

Insurers have agreed to pay about $112 for this service. Most negotiated rates run $89.13 to $135.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $110 · 10th to 90th $69 to $132Professionalmedian $112 · 10th to 90th $69 to $174
$100$200facility $110professional $112

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$109.65
Typical High
$131.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$107.15
Typical High
$147.91
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$141.25
Typical High
$229.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$162.18
Typical High
$288.40
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$151.36
Typical High
$295.12
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$109.65
Typical High
$154.88
United
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$173.78
Typical High
$275.42

Where Maine 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.

Maine· 11th of 51

$112

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.