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Extended Substance Use Screening And Counseling

Louisiana 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?

$64.57

Typical physician fee. In Louisiana, October 2026.

Insurers have agreed to pay about $64.57 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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $71 · 10th to 90th $0 to $295Professionalmedian $65 · 10th to 90th $50 to $74
$0.1$1$10$100facility $71professional $65

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
$58.88
Median
$69.18
Typical High
$75.86
Aetna
Setting
Professional
Modifier
None
Typical Low
$53.70
Median
$67.61
Typical High
$75.86
BCBS Louisiana
Setting
Facility
Modifier
None
Typical Low
$0.02
Median
$181.97
Typical High
$323.59
BCBS Louisiana
Setting
Professional
Modifier
None
Typical Low
$53.70
Median
$56.23
Typical High
$58.88
Cigna
Setting
Professional
Modifier
None
Typical Low
$42.66
Median
$54.95
Typical High
$91.20
United
Setting
Professional
Modifier
None
Typical Low
$50.12
Median
$50.12
Typical High
$66.07
4 more rates with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Aetna
Setting
Facility
Modifier
AF · Specialist physician
Typical Low
$72.44
Median
$72.44
Typical High
$81.28
Aetna
Setting
Facility
Modifier
HO · Master's level
Typical Low
$53.70
Median
$53.70
Typical High
$60.26
Aetna
Setting
Facility
Modifier
TD · Registered nurse
Typical Low
$61.66
Median
$61.66
Typical High
$69.18
Ambetter
Setting
Professional
Modifier
U1 · State-defined
Typical Low
$56.23
Median
$56.23
Typical High
$56.23

Where Louisiana 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.

Louisiana· 17th of 51

$64.57

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.