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Ongoing Behavioral Health Care Coordination, Monthly

Utah 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?

$115

Typical physician fee. In Utah, July 2026.

Insurers have agreed to pay about $115 for this service. Most negotiated rates run $91.20 to $141.

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 $105 · 10th to 90th $83 to $129Professionalmedian $115 · 10th to 90th $78 to $191
$100$200facility $105professional $115

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
$83.18
Median
$104.71
Typical High
$128.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$114.82
Typical High
$186.21
Cigna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$151.36
Typical High
$234.42
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$245.47
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$141.25
Typical High
$199.53
Select Health
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
Select Health
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$109.65
Typical High
$158.49
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$173.78
Typical High
$257.04
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$117.49
Typical High
$194.98

Where Utah 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.

Utah· 9th of 51

$115

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.