go back

Extended Substance Use Screening And Counseling

North Dakota 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 physician fee. In North Dakota, July 2026.

Insurers have agreed to pay about $66.07 for this service. Most negotiated rates run $53.70 to $105.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $68 · 10th to 90th $52 to $79Professionalmedian $66 · 10th to 90th $48 to $138
$50.0$100.0$200.0$500.0$1.0Kfacility $68professional $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
$52.48
Median
$67.61
Typical High
$69.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$58.88
Typical High
$79.43
BCBS
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$125.89
Typical High
$162.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$147.91
Typical High
$263.03
Medica
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$67.61
Typical High
$107.15
Medica
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$79.43
Typical High
$1,122.02
United
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$79.43
Typical High
$151.36

Where North Dakota 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.

North Dakota $66.07 · 4th 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.