What do doctors typically charge for Follow-up Psychiatric Collaborative Care Management?

The nationwide median physician charge for Follow-up Psychiatric Collaborative Care Management (CPT 99493) is $245.00. Doctor billed charges vary based on geographic region, setting, and overhead.

What is the standard insurance baseline for CPT 99493?

The standard insurance baseline reimbursement rate is $124.06. This represents the customary allowable amount established across standard fee schedules.

Home/Procedures/Follow-up Psychiatric Collaborative Care Management

CPT 99493Medical Service

Follow-up Psychiatric Collaborative Care Management

Follow-up psychiatric collaborative care management, subsequent calendar month, first 60 minutes. Clinical pricing breakdown and utilization metrics across 329 practicing doctors nationwide.

$245.00

Peer Median Charge

Gross billed rate

$124.06

Standard Baseline

Customary allowable

2.0x

National Markup

Charge vs baseline

329

Active Physicians

Billing this code

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Understanding This Medical Fee

Gross Charge vs Negotiated Payment: The median physician charge for this service is $245.00. However, insured patients almost never pay this full amount directly. Insurers negotiate rates down toward the $124.06 baseline.

Self-Pay & Uninsured Guidance: If you are paying without insurance or out-of-network, request a prompt-pay cash discount. Most medical practices are willing to settle self-pay bills near the customary baseline rate rather than the full gross charge.

Key Questions for Your Doctor's Billing Office:

"Does Dr. [Name] participate in my specific insurance plan network?"
"What is the total self-pay or cash rate for code 99493 if paid upfront?"
"Are there separate facility, anesthesia, or pathology fees associated with this procedure?"