go back

Brief Alcohol Or Substance Use Screening And Counseling

Maryland rates for HCPCS 99408

A clinician uses a structured questionnaire to screen a patient for risky alcohol or drug use, then spends time, roughly 15 to 30 minutes, discussing the results and offering brief counseling aimed at reducing that use. It is typically done as a focused conversation separate from other reasons for the visit. The goal is early identification and a short intervention, not ongoing addiction treatment.

Rates data updated July 2026.

How much does Brief Alcohol Or Substance Use Screening And Counseling cost?

$29.51

Typical physician fee. In Maryland, July 2026.

Insurers have agreed to pay about $29.51 for this service. Most negotiated rates run $26.30 to $33.88.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $25 · 10th to 90th $25 to $31Professionalmedian $30 · 10th to 90th $23 to $40
$20$50facility $25professional $30

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
$24.55
Median
$25.12
Typical High
$30.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$29.51
Typical High
$39.81
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$29.51
Typical High
$37.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$41.69
Typical High
$77.62
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$30.90
Typical High
$42.66
United
Setting
Facility
Modifier
Global
Typical Low
$23.44
Median
$26.30
Typical High
$39.81
United
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$36.31
Typical High
$61.66
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$47.86
Typical High
$56.23

Where Maryland 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.

Maryland· 45th of 51

$29.51

VT $35.48WV $28.84

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.