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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 October 2026.

How much does Extended Substance Use Screening And Counseling cost?

$102

Typical physician fee. In North Dakota, October 2026.

Insurers have agreed to pay about $102 for this service. Most negotiated rates run $67.61 to $129.

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 $69Professionalmedian $102 · 10th to 90th $59 to $148
$50$100$200$500$1Kfacility $68professional $102

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
$52.48
Median
$58.88
Typical High
$69.18
Aetna
Setting
Professional
Modifier
None
Typical Low
$52.48
Median
$58.88
Typical High
$69.18
BCBS North Dakota
Setting
Professional
Modifier
None
Typical Low
$97.72
Median
$117.49
Typical High
$158.49
BCBS North Dakota
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$19.50
Median
$23.99
Typical High
$31.62
Cigna
Setting
Professional
Modifier
None
Typical Low
$112.20
Median
$141.25
Typical High
$169.82
Medica
Setting
Facility
Modifier
None
Typical Low
$67.61
Median
$69.18
Typical High
$199.53
Medica
Setting
Professional
Modifier
None
Typical Low
$50.12
Median
$60.26
Typical High
$79.43
United
Setting
Professional
Modifier
None
Typical Low
$50.12
Median
$60.26
Typical High
$79.43

Where North Dakota 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.

North Dakota· 2nd of 51

$102

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.