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Extended Substance Use Screening And Counseling

Oregon 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?

$66.07

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $66.07 for this service. The price depends on where it is billed: about $64.57 from a physician practice, and about $100 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 8 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$64.57$56.23 to $83.18
FacilityA hospital or hospital-owned outpatient department$100$72.44 to $129

How much rates vary

Facilitymedian $100 · 10th to 90th $60 to $132Professionalmedian $65 · 10th to 90th $50 to $120
$1.0$10.0$100.0facility $100professional $65

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
$91.20
Median
$95.50
Typical High
$154.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$61.66
Typical High
$91.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$117.49
Typical High
$173.78
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$117.49
Typical High
$162.18
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$74.13
Typical High
$128.82
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$120.23
Typical High
$165.96
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$128.82
Typical High
$131.83
Providence
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$74.13
Typical High
$128.82
Providence
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$104.71
Typical High
$165.96
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$117.49
Typical High
$173.78
United
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$102.33
Typical High
$169.82

Where Oregon 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.

Oregon $66.07 · 2nd 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.