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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.

Facilitymedian $49 · 10th–90th $43$890%20%10th90th$49Professionalmedian $58 · 10th–90th $45$760%20%10th90th$58$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

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