go back

Ongoing Behavioral Health Care Coordination, Monthly

Vermont 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?

$117

Typical physician fee. In Vermont, July 2026.

Insurers have agreed to pay about $117 for this service. Most negotiated rates run $97.72 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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $107 · 10th to 90th $81 to $129Professionalmedian $117 · 10th to 90th $81 to $162
$100facility $107professional $117

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$107.15
Typical High
$128.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$117.49
Typical High
$162.18
BCBS
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$251.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$144.54
Typical High
$251.19
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$181.97
Typical High
$275.42
United
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$165.96
Typical High
$295.12

Where Vermont 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.

Vermont· 6th of 51

$117

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.