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Ongoing Behavioral Health Care Coordination, Monthly

Oregon 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?

$120

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $120 for this service. The price depends on where it is billed: about $120 from a physician practice, and about $186 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$120$93.33 to $155
FacilityA hospital or hospital-owned outpatient department$186$126 to $269

How much rates vary

Facilitymedian $186 · 10th to 90th $91 to $269Professionalmedian $120 · 10th to 90th $79 to $229
$100$200$500facility $186professional $120

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
$186.21
Median
$239.88
Typical High
$331.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$114.82
Typical High
$186.21
Cigna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$213.80
Typical High
$371.54
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$213.80
Typical High
$331.13
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$131.83
Typical High
$213.80
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$223.87
Typical High
$331.13
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$269.15
Typical High
$269.15
Providence
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$128.82
Typical High
$218.78
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$190.55
Typical High
$338.84
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$234.42
Typical High
$338.84
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$204.17
Typical High
$331.13

Where Oregon 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.

Oregon· 2nd of 51

$120

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.