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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 October 2026.

How much does Extended Substance Use Screening And Counseling cost?

$61.66

Typical physician fee. In Tennessee, October 2026.

Insurers have agreed to pay about $61.66 for this service. Most negotiated rates run $52.48 to $66.07.

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 $58 · 10th to 90th $50 to $69Professionalmedian $62 · 10th to 90th $48 to $74
$50$100$200$500$1Kfacility $58professional $62

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$50.12
Median
$57.54
Typical High
$69.18
Aetna
Setting
Professional
Modifier
None
Typical Low
$50.12
Median
$58.88
Typical High
$69.18
Ambetter
Setting
Professional
Modifier
None
Typical Low
$48.98
Median
$48.98
Typical High
$48.98
BCBS Tennessee
Setting
Professional
Modifier
None
Typical Low
$63.10
Median
$66.07
Typical High
$70.79
Cigna
Setting
Professional
Modifier
None
Typical Low
$50.12
Median
$63.10
Typical High
$117.49
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$1,122.02
Median
$1,122.02
Typical High
$1,122.02
Optum
Setting
Professional
Modifier
None
Typical Low
$47.86
Median
$47.86
Typical High
$63.10
United
Setting
Professional
Modifier
None
Typical Low
$47.86
Median
$50.12
Typical High
$85.11
1 more rate with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Ambetter
Setting
Professional
Modifier
HO · Master's level
Typical Low
$47.86
Median
$47.86
Typical High
$47.86

Where Tennessee 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.

Tennessee· 22nd of 51

$61.66

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.