HCPCS H0023: Behavioral Health Outreach Service
Commercial payers pay $91 on average nationally for this procedure.
HCPCS Level II code H0023 describes a behavioral health outreach service, a planned approach to engage and reach a targeted population for mental health support; the service is typically delivered as community-based outreach or field-based behavioral health engagement rather than in-office psychotherapy, and focuses on outreach activities such as engagement, referral linkage, and brief supportive contacts to connect individuals to ongoing behavioral health care.
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National Reimbursement Benchmarks
Across national commercial payers, BUCA’s average commercial benchmark sits at $91, representing a mid-market reference for H0023. Cigna and Aetna occupy higher average positions with Cigna’s mean at $125 and Aetna’s mean at $190.80, while UnitedHealth Group and Blue Cross Blue Shield cluster substantially lower with means of $84.4 and $27.30 respectively. These differences indicate a multi-tiered commercial pricing environment where BUCA aligns closer to UnitedHealth Group than to the higher-paying Cigna and Aetna.
Dispersion measured as the interquartile spread (P75 minus P25) highlights variability by payer: Aetna’s IQR is $84.00 (P75 $243.00 minus P25 $160.00), Blue Cross Blue Shield’s IQR is $32.50, BUCA’s IQR is $30.10, while UnitedHealth Group and Cigna show the tightest spreads at $0.00 each. Thus Aetna exhibits the widest payer-level dispersion and Cigna and UnitedHealth Group the tightest.