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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 October 2026.

How much does Extended Substance Use Screening And Counseling cost?

$67.61

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $67.61 for this service. The price depends on where it is billed: about $67.61 from a physician practice, and about $97.72 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$67.61$67.61 to $83.18
FacilityA hospital or hospital-owned outpatient department$97.72$95.50 to $117

How much rates vary

Facilitymedian $98 · 10th to 90th $83 to $123Professionalmedian $68 · 10th to 90th $62 to $95
$100facility $98professional $68

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
Professional
Modifier
None
Typical Low
$46.77
Median
$63.10
Typical High
$93.33
BCBS Montana
Setting
Professional
Modifier
None
Typical Low
$64.57
Median
$64.57
Typical High
$67.61
Cigna
Setting
Facility
Modifier
None
Typical Low
$97.72
Median
$97.72
Typical High
$123.03
Cigna
Setting
Professional
Modifier
None
Typical Low
$67.61
Median
$83.18
Typical High
$83.18
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$91.20
Median
$102.33
Typical High
$125.89
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$61.66
Median
$95.50
Typical High
$123.03
Providence
Setting
Facility
Modifier
None
Typical Low
$54.95
Median
$67.61
Typical High
$123.03
Providence
Setting
Professional
Modifier
None
Typical Low
$67.61
Median
$83.18
Typical High
$97.72
United
Setting
Professional
Modifier
None
Typical Low
$58.88
Median
$58.88
Typical High
$79.43

Where Montana 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.

Montana· 14th of 51

$67.61

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.