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Ongoing Behavioral Health Care Coordination, Monthly

Ohio 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 physician fee. In Ohio, July 2026.

Insurers have agreed to pay about $105 for this service. Most negotiated rates run $81.28 to $129.

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 9 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $89 · 10th to 90th $60 to $295Professionalmedian $105 · 10th to 90th $68 to $162
$100$200$500facility $89professional $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
$60.26
Median
$81.28
Typical High
$371.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$102.33
Typical High
$154.88
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$147.91
Typical High
$229.09
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$120.23
Typical High
$194.98
CareSource
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$93.33
Typical High
$128.82
CareSource
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$128.82
Typical High
$173.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$138.04
Typical High
$239.88
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$134.90
Typical High
$218.78
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$138.04
Typical High
$204.17
United
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$117.49
Typical High
$199.53

Where Ohio 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.

Ohio· 34th 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.