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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 July 2026.

How much does Extended Substance Use Screening And Counseling cost?

$63.10

Typical physician fee. In New Hampshire, July 2026.

Insurers have agreed to pay about $63.10 for this service. Most negotiated rates run $54.95 to $79.43.

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 $91 · 10th to 90th $87 to $200Professionalmedian $63 · 10th to 90th $49 to $102
$50$100$200facility $91professional $63

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
$87.10
Median
$91.20
Typical High
$204.17
Aetna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$60.26
Typical High
$87.10
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$51.29
Typical High
$51.29
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$67.61
Typical High
$112.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$95.50
Typical High
$177.83
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$81.28
Typical High
$147.91
Optum
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$64.57
Typical High
$87.10
United
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$77.62
Typical High
$158.49
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$125.89
Typical High
$154.88

Where New Hampshire sits

Rates are fairly even across states for this service. 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

$63.10

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.