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Extended Substance Use Screening And Counseling

Nevada 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 Nevada, July 2026.

Insurers have agreed to pay about $57.54 for this service. Most negotiated rates run $51.29 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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $52 · 10th to 90th $50 to $54Professionalmedian $59 · 10th to 90th $47 to $78
$1.0$5.0$20.0$100.0facility $52professional $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
$50.12
Median
$52.48
Typical High
$53.70
Aetna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$57.54
Typical High
$77.62
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$67.61
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$67.61
Typical High
$112.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$77.62
Typical High
$112.20
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$0.87
Median
$0.98
Typical High
$1.55
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$0.98
Median
$0.98
Typical High
$0.98
Select Health
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$52.48
Typical High
$67.61
United
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$69.18
Typical High
$109.65

Where Nevada 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.

Nevada $57.54 · 45th 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.