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Extended Substance Use Screening And Counseling

Delaware 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?

$57.54

Typical physician fee. In Delaware, July 2026.

Insurers have agreed to pay about $57.54 for this service. Most negotiated rates run $52.48 to $64.57.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $59 · 10th to 90th $55 to $62Professionalmedian $58 · 10th to 90th $48 to $74
$50.0$100.0$200.0facility $59professional $58

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
$54.95
Median
$58.88
Typical High
$61.66
Aetna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$57.54
Typical High
$74.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$60.26
Typical High
$102.33
United
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$61.66
Typical High
$91.20

Where Delaware 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.

Delaware $57.54 · 48th 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.