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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 July 2026.

How much does Extended Substance Use Screening And Counseling cost?

$61.66

Typical negotiated rate. In Alaska, July 2026.

Insurers have agreed to pay about $61.66 for this service. The price depends on where it is billed: about $61.66 from a physician practice, and about $72.44 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$61.66$52.48 to $72.44
FacilityA hospital or hospital-owned outpatient department$72.44$61.66 to $93.33

How much rates vary

Facilitymedian $72 · 10th to 90th $55 to $138Professionalmedian $62 · 10th to 90th $47 to $100
$50.0$100.0$200.0facility $72professional $62

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
$61.66
Median
$120.23
Typical High
$162.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$60.26
Typical High
$85.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$95.50
Typical High
$234.42
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$72.44
Typical High
$134.90
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$173.78
Typical High
$288.40
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$177.83
Typical High
$199.53
Providence
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$72.44
Typical High
$134.90
Providence
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$114.82
Typical High
$177.83
United
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$83.18
Typical High
$190.55

Where Alaska sits

Rates are fairly even across states for this service. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Alaska $61.66 · 18th of 51
VT $69.18AZ $56.23

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.