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Extended Substance Use Screening And Counseling

Minnesota 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?

$66.07

Typical negotiated rate. In Minnesota, July 2026.

Insurers have agreed to pay about $66.07 for this service. The price depends on where it is billed: about $66.07 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$66.07$53.70 to $97.72
FacilityA hospital or hospital-owned outpatient department$66.07$56.23 to $87.10

How much rates vary

Facilitymedian $66 · 10th to 90th $50 to $178Professionalmedian $66 · 10th to 90th $47 to $170
$50.0$100.0$200.0$500.0$1.0Kfacility $66professional $66

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
$47.86
Median
$56.23
Typical High
$83.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$57.54
Typical High
$77.62
BCBS
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$50.12
Typical High
$218.78
BCBS
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$131.83
Typical High
$199.53
Cigna
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$213.80
Typical High
$537.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$144.54
Typical High
$239.88
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$208.93
Typical High
$389.05
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$151.36
Typical High
$218.78
Medica
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$72.44
Typical High
$120.23
Medica
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$89.13
Typical High
$213.80
United
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$93.33
Typical High
$204.17

Where Minnesota 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.

Minnesota $66.07 · 3rd 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.