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Extended Substance Use Screening And Counseling

Iowa 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 October 2026.

How much does Extended Substance Use Screening And Counseling cost?

$67.61

Typical physician fee. In Iowa, October 2026.

Insurers have agreed to pay about $67.61 for this service. Most negotiated rates run $50.12 to $93.33.

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.

How much rates vary

Facilitymedian $115 · 10th to 90th $55 to $129Professionalmedian $68 · 10th to 90th $48 to $112
$50$100$200facility $115professional $68

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$47.86
Median
$57.54
Typical High
$67.61
Aetna
Setting
Professional
Modifier
None
Typical Low
$47.86
Median
$54.95
Typical High
$67.61
Cigna
Setting
Professional
Modifier
None
Typical Low
$93.33
Median
$97.72
Typical High
$141.25
Hally Health
Setting
Professional
Modifier
None
Typical Low
$52.48
Median
$60.26
Typical High
$112.20
Medica
Setting
Facility
Modifier
None
Typical Low
$77.62
Median
$120.23
Typical High
$134.90
Medica
Setting
Professional
Modifier
None
Typical Low
$47.86
Median
$48.98
Typical High
$1,122.02
Midlands
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$83.18
Typical High
$97.72
Midlands
Setting
Professional
Modifier
None
Typical Low
$67.61
Median
$97.72
Typical High
$177.83
Oscar Health
Setting
Professional
Modifier
None
Typical Low
$47.86
Median
$48.98
Typical High
$63.10
United
Setting
Professional
Modifier
None
Typical Low
$47.86
Median
$48.98
Typical High
$79.43
Wellmark
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$93.33
Typical High
$104.71

Where Iowa sits

The same service costs 2.3 times more in Alaska than in Arizona. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Iowa· 15th of 51

$67.61

AK $110AZ $46.77

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.