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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 July 2026.

How much does Extended Substance Use Screening And Counseling cost?

$58.88

Typical negotiated rate. In Iowa, 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 $89.13 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$50.12 to $69.18
FacilityA hospital or hospital-owned outpatient department$89.13$66.07 to $115

How much rates vary

Facilitymedian $89 · 10th to 90th $56 to $135Professionalmedian $59 · 10th to 90th $45 to $87
$50.0$100.0$200.0$500.0$1.0Kfacility $89professional $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
$69.18
Median
$114.82
Typical High
$141.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$57.54
Typical High
$83.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$120.23
Typical High
$199.53
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$67.61
Typical High
$177.83
Medica
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$69.18
Typical High
$125.89
Medica
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$79.43
Typical High
$213.80
Midlands
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$125.89
Typical High
$173.78
Midlands
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$123.03
Typical High
$128.82
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$60.26
Typical High
$93.33
United
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$47.86
United
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$74.13
Typical High
$138.04
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$91.20
Typical High
$112.20

Where Iowa 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.

Iowa $58.88 · 36th 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.