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Extended Substance Use Screening And Counseling

Montana 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?

$61.66

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $61.66 for this service. The price depends on where it is billed: about $61.66 from a physician practice, and about $107 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$61.66$52.48 to $72.44
FacilityA hospital or hospital-owned outpatient department$107$69.18 to $112

How much rates vary

Facilitymedian $107 · 10th to 90th $59 to $117Professionalmedian $62 · 10th to 90th $47 to $93
$50.0$100.0$200.0facility $107professional $62

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
Professional
Modifier
Global
Typical Low
$46.77
Median
$60.26
Typical High
$89.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$67.61
Typical High
$104.71
Cigna
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$104.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$97.72
Typical High
$263.03
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$112.20
Typical High
$117.49
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$112.20
Typical High
$117.49
Providence
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$69.18
Typical High
$117.49
Providence
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$102.33
Typical High
$177.83
United
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$87.10
Typical High
$117.49

Where Montana 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.

Montana $61.66 · 19th 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.