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Extended Substance Use Screening And Counseling

South Dakota 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?

$83.18

Typical physician fee. In South Dakota, October 2026.

Insurers have agreed to pay about $83.18 for this service. Most negotiated rates run $53.70 to $112.

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 $89 · 10th to 90th $49 to $115Professionalmedian $83 · 10th to 90th $47 to $132
$50$100$200$500$1Kfacility $89professional $83

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
$40.74
Median
$52.48
Typical High
$67.61
Aetna
Setting
Professional
Modifier
None
Typical Low
$40.74
Median
$48.98
Typical High
$57.54
Cigna
Setting
Professional
Modifier
None
Typical Low
$109.65
Median
$117.49
Typical High
$147.91
Medica
Setting
Facility
Modifier
None
Typical Low
$77.62
Median
$93.33
Typical High
$117.49
Medica
Setting
Professional
Modifier
None
Typical Low
$53.70
Median
$53.70
Typical High
$1,122.02
Midlands
Setting
Professional
Modifier
None
Typical Low
$97.72
Median
$128.82
Typical High
$131.83
Midlands
Setting
Professional
Modifier
None
Typical Low
$87.10
Median
$91.20
Typical High
$134.90
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$72.44
Median
$83.18
Typical High
$125.89
United
Setting
Professional
Modifier
None
Typical Low
$53.70
Median
$53.70
Typical High
$70.79
Wellmark
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$95.50
Typical High
$117.49

Where South Dakota 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.

South Dakota· 8th of 51

$83.18

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.