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Extended Substance Use Screening And Counseling

New Mexico 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?

$58.88

Typical physician fee. In New Mexico, October 2026.

Insurers have agreed to pay about $58.88 for this service. Most negotiated rates run $45.71 to $74.13.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $74 · 10th to 90th $59 to $87Professionalmedian $59 · 10th to 90th $31 to $78
$20$50$100facility $74professional $59

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
$54.95
Median
$72.44
Typical High
$87.10
Aetna
Setting
Professional
Modifier
None
Typical Low
$58.88
Median
$72.44
Typical High
$87.10
Ambetter
Setting
Professional
Modifier
None
Typical Low
$48.98
Median
$48.98
Typical High
$48.98
BCBS New Mexico
Setting
Professional
Modifier
None
Typical Low
$18.62
Median
$44.67
Typical High
$47.86
Cigna
Setting
Professional
Modifier
None
Typical Low
$58.88
Median
$81.28
Typical High
$123.03
Molina
Setting
Professional
Modifier
None
Typical Low
$56.23
Median
$66.07
Typical High
$95.50
Providence
Setting
Facility
Modifier
None
Typical Low
$77.62
Median
$77.62
Typical High
$87.10
Providence
Setting
Professional
Modifier
None
Typical Low
$57.54
Median
$77.62
Typical High
$123.03
United
Setting
Professional
Modifier
None
Typical Low
$50.12
Median
$51.29
Typical High
$67.61

Where New Mexico 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 Mexico· 35th of 51

$58.88

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.