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Ongoing Behavioral Health Care Coordination, Monthly

Virginia 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 negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $105 for this service. The price depends on where it is billed: about $105 from a physician practice, and about $107 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$105$81.28 to $126
FacilityA hospital or hospital-owned outpatient department$107$85.11 to $138

How much rates vary

Facilitymedian $107 · 10th to 90th $71 to $178Professionalmedian $105 · 10th to 90th $68 to $145
$100$200facility $107professional $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
$93.33
Typical High
$125.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$102.33
Typical High
$138.04
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$144.54
Typical High
$223.87
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$89.13
Typical High
$109.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$144.54
Typical High
$263.03
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$128.82
Typical High
$177.83
Medcost
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$281.84
Medcost
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$125.89
Typical High
$186.21
Medcost
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$109.65
Sentara
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$131.83
Typical High
$239.88
Sentara
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$173.78
Typical High
$275.42
United
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$467.74
United
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$123.03
Typical High
$234.42

Where Virginia 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.

Virginia· 36th 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.