go back

Extended Substance Use Screening And Counseling

Connecticut 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?

$60.26

Typical physician fee. In Connecticut, July 2026.

Insurers have agreed to pay about $60.26 for this service. Most negotiated rates run $53.70 to $69.18.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $69 · 10th to 90th $60 to $117Professionalmedian $60 · 10th to 90th $48 to $81
$50.0$100.0$200.0facility $69professional $60

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
$60.26
Median
$69.18
Typical High
$117.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$60.26
Typical High
$79.43
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$77.62
Typical High
$144.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$91.20
Typical High
$147.91
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$131.83
Typical High
$162.18
United
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$53.70
United
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$70.79
Typical High
$117.49

Where Connecticut 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.

Connecticut $60.26 · 20th 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.