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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 October 2026.

How much does Extended Substance Use Screening And Counseling cost?

$72.44

Typical negotiated rate. In Nebraska, October 2026.

Insurers have agreed to pay about $72.44 for this service. The price depends on where it is billed: about $72.44 from a physician practice, and about $138 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$72.44$51.29 to $100
FacilityA hospital or hospital-owned outpatient department$138$63.10 to $170

How much rates vary

Facilitymedian $138 · 10th to 90th $50 to $282Professionalmedian $72 · 10th to 90th $49 to $117
$50$100$200facility $138professional $72

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
$44.67
Median
$52.48
Typical High
$61.66
Aetna
Setting
Professional
Modifier
None
Typical Low
$44.67
Median
$52.48
Typical High
$61.66
BCBS Nebraska
Setting
Facility
Modifier
None
Typical Low
$117.49
Median
$158.49
Typical High
$323.59
BCBS Nebraska
Setting
Professional
Modifier
None
Typical Low
$51.29
Median
$87.10
Typical High
$117.49
Cigna
Setting
Professional
Modifier
None
Typical Low
$109.65
Median
$112.20
Typical High
$131.83
Medica
Setting
Facility
Modifier
None
Typical Low
$60.26
Median
$120.23
Typical High
$281.84
Medica
Setting
Professional
Modifier
None
Typical Low
$50.12
Median
$51.29
Typical High
$1,122.02
Midlands
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$131.83
Typical High
$173.78
Midlands
Setting
Professional
Modifier
None
Typical Low
$114.82
Median
$128.82
Typical High
$173.78
Oscar Health
Setting
Professional
Modifier
None
Typical Low
$50.12
Median
$50.12
Typical High
$67.61
United
Setting
Professional
Modifier
None
Typical Low
$50.12
Median
$51.29
Typical High
$95.50
1 more rate with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Ambetter
Setting
Professional
Modifier
HO · Master's level
Typical Low
$47.86
Median
$47.86
Typical High
$47.86

Where Nebraska 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.

Nebraska· 12th of 51

$72.44

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.