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Extended Substance Use Screening And Counseling

Colorado 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?

$58.88

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $58.88 for this service. The price depends on where it is billed: about $58.88 from a physician practice, and about $67.61 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 7 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$58.88$52.48 to $69.18
FacilityA hospital or hospital-owned outpatient department$67.61$60.26 to $79.43

How much rates vary

Facilitymedian $68 · 10th to 90th $51 to $102Professionalmedian $59 · 10th to 90th $46 to $81
$50.0$100.0$200.0facility $68professional $59

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
$45.71
Median
$61.66
Typical High
$70.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$58.88
Typical High
$77.62
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$74.13
Typical High
$112.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$93.33
Typical High
$138.04
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$70.79
Typical High
$109.65
Denver HMP
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$56.23
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$257.04
Typical High
$295.12
Select Health
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$64.57
Select Health
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$61.66
Typical High
$79.43
United
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$57.54
United
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$75.86
Typical High
$123.03

Where Colorado 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.

Colorado $58.88 · 25th 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.