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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 July 2026.

How much does Extended Substance Use Screening And Counseling cost?

$64.57

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $64.57 for this service. The price depends on where it is billed: about $64.57 from a physician practice, and about $67.61 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$64.57$53.70 to $70.79
FacilityA hospital or hospital-owned outpatient department$67.61$67.61 to $69.18

How much rates vary

Facilitymedian $68 · 10th to 90th $68 to $69Professionalmedian $65 · 10th to 90th $47 to $87
$50.0$100.0$200.0facility $68professional $65

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
$67.61
Median
$67.61
Typical High
$69.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$63.10
Typical High
$83.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$87.10
Typical High
$123.03
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$89.13
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$75.86
Typical High
$125.89
Select Health
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$74.13
Select Health
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$61.66
Typical High
$100.00
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$83.18
Typical High
$125.89
United
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$50.12
United
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$66.07
Typical High
$97.72

Where Utah 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.

Utah $64.57 · 7th 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.