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Ongoing Behavioral Health Care Coordination, Monthly

Missouri 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?

$105

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $105 for this service. The price depends on where it is billed: about $105 from a physician practice, and about $123 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$105$83.18 to $132
FacilityA hospital or hospital-owned outpatient department$123$93.33 to $148

How much rates vary

Facilitymedian $123 · 10th to 90th $79 to $204Professionalmedian $105 · 10th to 90th $68 to $186
$100$200$500facility $123professional $105

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
$128.82
Median
$134.90
Typical High
$204.17
Aetna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$104.71
Typical High
$186.21
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$186.21
Typical High
$218.78
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$87.10
Typical High
$169.82
BCBS
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$141.25
Typical High
$204.17
Cigna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$141.25
Typical High
$251.19
Medica
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$114.82
Typical High
$186.21
Medica
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$169.82
Typical High
$912.01
Qualchoice
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$154.88
Typical High
$181.97
United
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$204.17
United
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$120.23
Typical High
$194.98

Where Missouri 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.

Missouri· 35th of 51

$105

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.