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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 July 2026.

How much does Extended Substance Use Screening And Counseling cost?

$58.88

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $58.88 for this service. The price depends on where it is billed: about $58.88 from a physician practice, and about $72.44 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$58.88$52.48 to $69.18
FacilityA hospital or hospital-owned outpatient department$72.44$61.66 to $77.62

How much rates vary

Facilitymedian $72 · 10th to 90th $55 to $91Professionalmedian $59 · 10th to 90th $47 to $78
$20.0$50.0$100.0$200.0facility $72professional $59

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
$60.26
Median
$74.13
Typical High
$77.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$58.88
Typical High
$77.62
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$74.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$45.71
Typical High
$66.07
Cigna
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$87.10
Typical High
$123.03
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$67.61
Typical High
$114.82
Providence
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$69.18
Typical High
$100.00
Providence
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$87.10
Typical High
$123.03
United
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$67.61
United
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$75.86
Typical High
$117.49

Where New Mexico sits

Rates are fairly even across states for this service. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

New Mexico $58.88 · 24th of 51
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.