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Extended Substance Use Screening And Counseling

Rhode Island 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?

$67.61

Typical physician fee. In Rhode Island, October 2026.

Insurers have agreed to pay about $67.61 for this service. Most negotiated rates run $54.95 to $81.28.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $129 · 10th to 90th $81 to $158Professionalmedian $68 · 10th to 90th $52 to $87
$100facility $129professional $68

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
$81.28
Median
$83.18
Typical High
$87.10
Aetna
Setting
Professional
Modifier
None
Typical Low
$64.57
Median
$81.28
Typical High
$87.10
BCBS Rhode Island
Setting
Facility
Modifier
None
Typical Low
$128.82
Median
$147.91
Typical High
$162.18
BCBS Rhode Island
Setting
Professional
Modifier
None
Typical Low
$53.70
Median
$56.23
Typical High
$74.13
Cigna
Setting
Professional
Modifier
None
Typical Low
$61.66
Median
$64.57
Typical High
$144.54
United
Setting
Professional
Modifier
None
Typical Low
$52.48
Median
$52.48
Typical High
$70.79

Where Rhode Island 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.

Rhode Island· 13th of 51

$67.61

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.