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Ongoing Behavioral Health Care Coordination, Monthly

New Jersey 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 physician fee. In New Jersey, July 2026.

Insurers have agreed to pay about $107 for this service. Most negotiated rates run $83.18 to $126.

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.

How much rates vary

Facilitymedian $87 · 10th to 90th $58 to $138Professionalmedian $107 · 10th to 90th $68 to $148
$100$200facility $87professional $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
$57.54
Median
$87.10
Typical High
$138.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$102.33
Typical High
$141.25
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$199.53
Typical High
$245.47
AmeriHealth
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$162.18
Typical High
$363.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$147.91
Typical High
$245.47
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$223.87
Typical High
$288.40
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$257.04
Typical High
$407.38
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$144.54
Typical High
$245.47
United
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$117.49
Typical High
$229.09

Where New Jersey 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.

New Jersey· 24th 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.