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Extended Substance Use Screening And Counseling

Hawaii 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?

$61.66

Typical physician fee. In Hawaii, July 2026.

Insurers have agreed to pay about $61.66 for this service. Most negotiated rates run $53.70 to $70.79.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $62 · 10th to 90th $48 to $83
$50.0$100.0$200.0$500.0$1.0K$2.0Kprofessional $62

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
Professional
Modifier
Global
Typical Low
$47.86
Median
$61.66
Typical High
$83.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$74.13
Typical High
$112.20
HMSA
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$91.20
Typical High
$104.71
United
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$67.61
Typical High
$93.33

Where Hawaii 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.

Hawaii $61.66 · 17th 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.