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Extended Substance Use Screening And Counseling

Indiana 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?

$57.54

Typical negotiated rate. In Indiana, October 2026.

Insurers have agreed to pay about $57.54 for this service. The price depends on where it is billed: about $57.54 from a physician practice, and about $48.98 from a hospital or other facility.

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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$57.54$47.86 to $63.10
FacilityA hospital or hospital-owned outpatient department$48.98$43.65 to $57.54

How much rates vary

Facilitymedian $49 · 10th to 90th $42 to $66Professionalmedian $58 · 10th to 90th $44 to $78
$50$100$200$500$1K$2Kfacility $49professional $58

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
$41.69
Median
$48.98
Typical High
$58.88
Aetna
Setting
Professional
Modifier
None
Typical Low
$41.69
Median
$48.98
Typical High
$58.88
Ambetter
Setting
Professional
Modifier
None
Typical Low
$48.98
Median
$48.98
Typical High
$100.00
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$77.62
Median
$77.62
Typical High
$147.91
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$54.95
Median
$63.10
Typical High
$79.43
CareSource
Setting
Facility
Modifier
None
Typical Low
$57.54
Median
$57.54
Typical High
$64.57
CareSource
Setting
Professional
Modifier
None
Typical Low
$54.95
Median
$54.95
Typical High
$54.95
Cigna
Setting
Professional
Modifier
None
Typical Low
$56.23
Median
$67.61
Typical High
$100.00
Physicians Health Plan of Northern Indiana
Setting
Facility
Modifier
None
Typical Low
$147.91
Median
$194.98
Typical High
$2,187.76
Physicians Health Plan of Northern Indiana
Setting
Professional
Modifier
None
Typical Low
$48.98
Median
$63.10
Typical High
$89.13
United
Setting
Professional
Modifier
None
Typical Low
$47.86
Median
$47.86
Typical High
$70.79

Where Indiana 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.

Indiana· 36th of 51

$57.54

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.