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Extended Substance Use Screening And Counseling

New Jersey 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 physician fee. In New Jersey, July 2026.

Insurers have agreed to pay about $57.54 for this service. Most negotiated rates run $50.12 to $67.61.

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 $49 · 10th to 90th $43 to $89Professionalmedian $58 · 10th to 90th $45 to $76
$50$100$200$500facility $49professional $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
$42.66
Median
$48.98
Typical High
$89.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$57.54
Typical High
$75.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$87.10
Typical High
$125.89
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$102.33
Typical High
$131.83
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$74.13
Typical High
$123.03
United
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$81.28
Typical High
$83.18
United
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$67.61
Typical High
$123.03

Where New Jersey 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 Jersey· 41st of 51

$57.54

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.