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Extended Substance Use Screening And Counseling

Nationwide rates for HCPCS 99409

This is a structured screening for alcohol or drug use paired with a brief counseling conversation about the results, lasting more than thirty minutes. A clinician or trained staff member uses a standardized questionnaire to assess use patterns and then discusses next steps with the patient. The longer time reflects a more in-depth conversation than a brief check-in.

Rates data updated July 2026.

Facilitymedian $65 · 10th–90th $50$1000%20%10th90th$65Professionalmedian $60 · 10th–90th $47$830%20%40%10th90th$60$0.1$1.0$10.0$100.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$60.26
Typical High
$79.43
Aetna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$58.88
Typical High
$77.62
BCBS
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$83.18
Typical High
$83.18
BCBS
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$70.79
Typical High
$120.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$257.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$89.13
Typical High
$165.96
United
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$63.10
Typical High
$93.33
United
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$70.79
Typical High
$125.89