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Extended Substance Use Screening And Counseling

Florida 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 Florida, 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 $53.70 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 8 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$53.70$52.48 to $56.23

How much rates vary

Facilitymedian $54 · 10th to 90th $51 to $65Professionalmedian $59 · 10th to 90th $47 to $78
$50.0$100.0$200.0facility $54professional $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
$51.29
Median
$53.70
Typical High
$64.57
Aetna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$58.88
Typical High
$77.62
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$48.98
Typical High
$74.13
AvMed
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$57.54
Typical High
$60.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$77.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$83.18
Typical High
$144.54
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$48.98
Typical High
$64.57
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$70.79
United
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$52.48
Typical High
$128.82
United
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$69.18
Typical High
$114.82
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$53.70
Typical High
$69.18

Where Florida 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.

Florida $58.88 · 29th 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.