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Extended Substance Use Screening And Counseling

Nebraska 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?

$57.54

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $57.54 for this service. The price depends on where it is billed: about $57.54 from a physician practice, and about $60.26 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 8 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$57.54$50.12 to $66.07
FacilityA hospital or hospital-owned outpatient department$60.26$51.29 to $66.07

How much rates vary

Facilitymedian $60 · 10th to 90th $47 to $100Professionalmedian $58 · 10th to 90th $46 to $83
$50.0$100.0$200.0$500.0$1.0Kfacility $60professional $58

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
$45.71
Median
$51.29
Typical High
$63.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$56.23
Typical High
$75.86
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$74.13
BCBS
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$162.18
Typical High
$204.17
BCBS
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$95.50
Typical High
$128.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$131.83
Typical High
$251.19
Medica
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$69.18
Typical High
$114.82
Medica
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$79.43
Typical High
$190.55
Midlands
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$128.82
Typical High
$173.78
Midlands
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$141.25
Typical High
$147.91
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$63.10
Typical High
$109.65
United
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$50.12
United
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$81.28
Typical High
$162.18

Where Nebraska 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.

Nebraska $57.54 · 46th 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.