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Ongoing Behavioral Health Care Coordination, Monthly

North Carolina 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 negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $112 for this service. The price depends on where it is billed: about $112 from a physician practice, and about $129 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$112$91.20 to $141
FacilityA hospital or hospital-owned outpatient department$129$100 to $158

How much rates vary

Facilitymedian $129 · 10th to 90th $83 to $204Professionalmedian $112 · 10th to 90th $72 to $200
$100$200$500facility $129professional $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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$158.49
Typical High
$426.58
Aetna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$112.20
Typical High
$186.21
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$199.53
Typical High
$245.47
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$114.82
Median
$114.82
Typical High
$117.49
BCBS
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$109.65
Typical High
$229.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$158.49
Typical High
$275.42
Medcost
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$123.03
Typical High
$186.21
Medcost
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$109.65
United
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$123.03
Typical High
$213.80
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$630.96
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$912.01
Typical High
$912.01

Where North Carolina 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.

North Carolina· 14th 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.