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Ongoing Behavioral Health Care Coordination, Monthly

South Dakota 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?

$100

Typical physician fee. In South Dakota, July 2026.

Insurers have agreed to pay about $100 for this service. Most negotiated rates run $79.43 to $123.

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 $89 · 10th to 90th $65 to $151Professionalmedian $100 · 10th to 90th $68 to $148
$100$200facility $89professional $100

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
$75.86
Typical High
$104.71
Aetna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$97.72
Typical High
$138.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$229.09
Typical High
$316.23
Medica
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$117.49
Typical High
$181.97
Medica
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$630.96
Typical High
$912.01
Midlands
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$204.17
Typical High
$275.42
Midlands
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$186.21
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$169.82
Typical High
$251.19
United
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$158.49
Typical High
$295.12
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$125.89
Typical High
$204.17

Where South Dakota 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.

South Dakota· 50th of 51

$100

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.