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Extended Substance Use Screening And Counseling

New Hampshire 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?

$74.13

Typical physician fee. In New Hampshire, October 2026.

Insurers have agreed to pay about $74.13 for this service. Most negotiated rates run $58.88 to $87.10.

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.

How much rates vary

Facilitymedian $115 · 10th to 90th $49 to $120Professionalmedian $74 · 10th to 90th $59 to $93
$50$100facility $115professional $74

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$87.10
Median
$87.10
Typical High
$91.20
Aetna
Setting
Professional
Modifier
None
Typical Low
$63.10
Median
$85.11
Typical High
$93.33
Ambetter
Setting
Professional
Modifier
None
Typical Low
$51.29
Median
$51.29
Typical High
$51.29
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$54.95
Median
$67.61
Typical High
$104.71
Cigna
Setting
Professional
Modifier
None
Typical Low
$67.61
Median
$77.62
Typical High
$177.83
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$58.88
Median
$61.66
Typical High
$100.00
Optum
Setting
Professional
Modifier
None
Typical Low
$58.88
Median
$58.88
Typical High
$74.13
United
Setting
Professional
Modifier
None
Typical Low
$58.88
Median
$58.88
Typical High
$91.20
Well Sense
Setting
Facility
Modifier
None
Typical Low
$48.98
Median
$114.82
Typical High
$120.23

Where New Hampshire 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.

New Hampshire· 11th of 51

$74.13

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.