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Extended Substance Use Screening And Counseling

Alaska 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 October 2026.

How much does Extended Substance Use Screening And Counseling cost?

$110

Typical negotiated rate. In Alaska, October 2026.

Insurers have agreed to pay about $110 for this service. The price depends on where it is billed: about $110 from a physician practice, and about $115 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$110$97.72 to $129
FacilityA hospital or hospital-owned outpatient department$115$64.57 to $132

How much rates vary

Facilitymedian $115 · 10th to 90th $62 to $186Professionalmedian $110 · 10th to 90th $63 to $178
$50$100facility $115professional $110

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$61.66
Median
$97.72
Typical High
$128.82
Aetna
Setting
Professional
Modifier
None
Typical Low
$57.54
Median
$109.65
Typical High
$134.90
Cigna
Setting
Professional
Modifier
None
Typical Low
$67.61
Median
$87.10
Typical High
$234.42
Moda Health
Setting
Facility
Modifier
None
Typical Low
$61.66
Median
$128.82
Typical High
$186.21
Moda Health
Setting
Professional
Modifier
None
Typical Low
$66.07
Median
$109.65
Typical High
$134.90
Premera BCBS
Setting
Professional
Modifier
None
Typical Low
$177.83
Median
$177.83
Typical High
$186.21
Providence
Setting
Facility
Modifier
None
Typical Low
$114.82
Median
$131.83
Typical High
$190.55
Providence
Setting
Professional
Modifier
None
Typical Low
$67.61
Median
$114.82
Typical High
$177.83
United
Setting
Professional
Modifier
None
Typical Low
$52.48
Median
$109.65
Typical High
$186.21

Where Alaska sits

The same service costs 2.3 times more in Alaska than in Arizona. 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.

Alaska· 1st of 51

$110

AK $110AZ $46.77

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.