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Extended Substance Use Screening And Counseling

Tennessee 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?

$60.26

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $60.26 for this service. The price depends on where it is billed: about $60.26 from a physician practice, and about $52.48 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$60.26$53.70 to $69.18
FacilityA hospital or hospital-owned outpatient department$52.48$51.29 to $63.10

How much rates vary

Facilitymedian $52 · 10th to 90th $50 to $71Professionalmedian $60 · 10th to 90th $49 to $81
$50.0$100.0$200.0$500.0$1.0Kfacility $52professional $60

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
$69.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$60.26
Typical High
$79.43
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$48.98
Typical High
$74.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$81.28
Typical High
$131.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$85.11
Typical High
$123.03
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$954.99
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,122.02
Typical High
$1,122.02
Optum
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$66.07
Typical High
$91.20
United
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$64.57
Typical High
$100.00
United
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$70.79
Typical High
$120.23

Where Tennessee 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.

Tennessee $60.26 · 22nd 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.