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Extended Substance Use Screening And Counseling

Missouri 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?

$54.95

Typical physician fee. In Missouri, October 2026.

Insurers have agreed to pay about $54.95 for this service. Most negotiated rates run $46.77 to $63.10.

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.

How much rates vary

Facilitymedian $60 · 10th to 90th $46 to $282Professionalmedian $55 · 10th to 90th $42 to $76
$50$100$200$500$1Kfacility $60professional $55

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
$36.31
Median
$46.77
Typical High
$97.72
Aetna
Setting
Professional
Modifier
None
Typical Low
$36.31
Median
$46.77
Typical High
$57.54
Ambetter
Setting
Professional
Modifier
None
Typical Low
$48.98
Median
$48.98
Typical High
$48.98
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$45.71
Median
$60.26
Typical High
$75.86
BCBS Kansas City
Setting
Professional
Modifier
None
Typical Low
$54.95
Median
$66.07
Typical High
$89.13
Cigna
Setting
Professional
Modifier
None
Typical Low
$57.54
Median
$74.13
Typical High
$123.03
Medica
Setting
Facility
Modifier
None
Typical Low
$56.23
Median
$85.11
Typical High
$281.84
Medica
Setting
Professional
Modifier
None
Typical Low
$47.86
Median
$50.12
Typical High
$1,122.02
United
Setting
Professional
Modifier
None
Typical Low
$47.86
Median
$50.12
Typical High
$77.62

Where Missouri 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.

Missouri· 42nd of 51

$54.95

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.