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Ongoing Behavioral Health Care Coordination, Monthly

Michigan 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 Michigan, 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 $105 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$107$87.10 to $132
FacilityA hospital or hospital-owned outpatient department$105$89.13 to $123

How much rates vary

Facilitymedian $105 · 10th to 90th $78 to $145Professionalmedian $107 · 10th to 90th $72 to $155
$100$200facility $105professional $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
$77.62
Median
$104.71
Typical High
$144.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$107.15
Typical High
$151.36
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$177.83
Typical High
$251.19
BCBS
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$97.72
BCBS
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$97.72
Typical High
$141.25
CareSource
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$74.13
Typical High
$123.03
CareSource
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$173.78
Typical High
$177.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$158.49
Typical High
$295.12
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$107.15
Typical High
$144.54
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$107.15
Typical High
$154.88
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$158.49
Typical High
$194.98
United
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$281.84
United
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$112.20
Typical High
$173.78

Where Michigan 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.

Michigan· 20th 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.