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Ongoing Behavioral Health Care Coordination, Monthly

Wisconsin 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?

$112

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $112 for this service. The price depends on where it is billed: about $112 from a physician practice, and about $120 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 12 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$112$89.13 to $145
FacilityA hospital or hospital-owned outpatient department$120$93.33 to $141

How much rates vary

Facilitymedian $120 · 10th to 90th $81 to $191Professionalmedian $112 · 10th to 90th $72 to $288
$100$200$500facility $120professional $112

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
$66.07
Median
$91.20
Typical High
$263.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$107.15
Typical High
$186.21
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$177.83
Typical High
$338.84
CareSource
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$95.50
Typical High
$181.97
CareSource
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$162.18
Typical High
$177.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$426.58
Typical High
$758.58
Cigna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$257.04
Typical High
$407.38
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$120.23
Typical High
$181.97
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$239.88
Typical High
$346.74
Medica
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$120.23
Typical High
$181.97
Medica
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$275.42
Typical High
$912.01
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$70.79
Network Health
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$141.25
Typical High
$269.15
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$120.23
Typical High
$181.97
Quartz
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$199.53
Typical High
$346.74
Quartz
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$630.96
Quartz
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$602.56
Typical High
$912.01
Security Health
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$173.78
Security Health
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$208.93
Typical High
$288.40
United
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$194.98
Typical High
$363.08

Where Wisconsin 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.

Wisconsin· 15th of 51

$112

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.