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Extended Substance Use Screening And Counseling

Michigan 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 Michigan, 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 $66.07 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 6 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$52.48 to $67.61
FacilityA hospital or hospital-owned outpatient department$66.07$66.07 to $69.18

How much rates vary

Facilitymedian $66 · 10th to 90th $52 to $69Professionalmedian $59 · 10th to 90th $47 to $76
$50.0$100.0$200.0facility $66professional $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
$52.48
Median
$66.07
Typical High
$69.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$58.88
Typical High
$74.13
BCBS
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$85.11
BCBS
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$85.11
Typical High
$89.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$104.71
Typical High
$263.03
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$66.07
Typical High
$69.18
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$58.88
Typical High
$77.62
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$117.49
Typical High
$263.03
United
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$69.18
United
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$70.79
Typical High
$91.20

Where Michigan 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.

Michigan $58.88 · 33rd 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.