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Extended Substance Use Screening And Counseling

Washington, DC 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 physician fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $58.88 for this service. Most negotiated rates run $52.48 to $67.61.

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 $49 · 10th to 90th $46 to $62Professionalmedian $59 · 10th to 90th $47 to $78
$50.0$100.0$200.0facility $49professional $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. 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
Global
Typical Low
$45.71
Median
$48.98
Typical High
$61.66
Aetna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$58.88
Typical High
$75.86
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$63.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$97.72
Typical High
$263.03
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$58.88
Typical High
$81.28
United
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$69.18
Typical High
$131.83

Where Washington, DC 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.

Washington, DC $58.88 · 32nd 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.