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Extended Substance Use Screening And Counseling

Idaho 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?

$63.10

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $63.10 for this service. The price depends on where it is billed: about $61.66 from a physician practice, and about $74.13 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$61.66$52.48 to $77.62
FacilityA hospital or hospital-owned outpatient department$74.13$63.10 to $93.33

How much rates vary

Facilitymedian $74 · 10th to 90th $56 to $110Professionalmedian $62 · 10th to 90th $46 to $93
$50.0$100.0$200.0facility $74professional $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
Facility
Modifier
Global
Typical Low
$70.79
Median
$89.13
Typical High
$95.50
Aetna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$61.66
Typical High
$89.13
BCBS
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
BCBS
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$117.49
Typical High
$134.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$104.71
Typical High
$128.82
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$70.79
Typical High
$117.49
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$112.20
Typical High
$134.90
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$64.57
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$97.72
Typical High
$114.82
Select Health
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$64.57
Typical High
$117.49
United
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$72.44
Typical High
$109.65

Where Idaho 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.

Idaho $63.10 · 8th 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.