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Extended Substance Use Screening And Counseling

Utah 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?

$66.07

Typical negotiated rate. In Utah, October 2026.

Insurers have agreed to pay about $66.07 for this service. The price depends on where it is billed: about $66.07 from a physician practice, and about $67.61 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$66.07$60.26 to $70.79
FacilityA hospital or hospital-owned outpatient department$67.61$60.26 to $69.18

How much rates vary

Facilitymedian $68 · 10th to 90th $54 to $91Professionalmedian $66 · 10th to 90th $54 to $76
$50$100facility $68professional $66

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
$53.70
Median
$67.61
Typical High
$70.79
Aetna
Setting
Professional
Modifier
None
Typical Low
$53.70
Median
$67.61
Typical High
$70.79
Cigna
Setting
Professional
Modifier
None
Typical Low
$75.86
Median
$79.43
Typical High
$109.65
Molina
Setting
Professional
Modifier
None
Typical Low
$48.98
Median
$60.26
Typical High
$69.18
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$81.28
Median
$91.20
Typical High
$125.89
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$61.66
Median
$69.18
Typical High
$75.86
Select Health
Setting
Facility
Modifier
None
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
Select Health
Setting
Professional
Modifier
None
Typical Low
$45.71
Median
$54.95
Typical High
$69.18
U of Utah Health Plan
Setting
Professional
Modifier
None
Typical Low
$58.88
Median
$81.28
Typical High
$102.33
United
Setting
Professional
Modifier
None
Typical Low
$50.12
Median
$50.12
Typical High
$66.07

Where Utah 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.

Utah· 16th of 51

$66.07

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.