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Extended Substance Use Screening And Counseling

Maine 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?

$56.23

Typical physician fee. In Maine, October 2026.

Insurers have agreed to pay about $56.23 for this service. Most negotiated rates run $53.70 to $61.66.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $56 · 10th to 90th $54 to $65Professionalmedian $56 · 10th to 90th $50 to $71
$50$100facility $56professional $56

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$53.70
Median
$56.23
Typical High
$70.79
Aetna
Setting
Professional
Modifier
None
Typical Low
$53.70
Median
$56.23
Typical High
$70.79
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$41.69
Median
$50.12
Typical High
$72.44
Cigna
Setting
Professional
Modifier
None
Typical Low
$63.10
Median
$75.86
Typical High
$125.89
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$50.12
Median
$58.88
Typical High
$74.13
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$53.70
Median
$57.54
Typical High
$64.57
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$53.70
Median
$56.23
Typical High
$70.79
United
Setting
Professional
Modifier
None
Typical Low
$56.23
Median
$58.88
Typical High
$74.13

Where Maine 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.

Maine· 40th of 51

$56.23

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.