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Extended Substance Use Screening And Counseling

Virginia 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?

$58.88

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $58.88 for this service. The price depends on where it is billed: about $58.88 from a physician practice, and about $61.66 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 8 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$58.88$51.29 to $67.61
FacilityA hospital or hospital-owned outpatient department$61.66$52.48 to $75.86

How much rates vary

Facilitymedian $62 · 10th to 90th $47 to $98Professionalmedian $59 · 10th to 90th $46 to $79
$50.0$100.0$200.0$500.0$1.0K$2.0Kfacility $62professional $59

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
$45.71
Median
$52.48
Typical High
$64.57
Aetna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$57.54
Typical High
$75.86
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$77.62
Typical High
$112.20
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$57.54
Typical High
$72.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$83.18
Typical High
$151.36
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$63.10
Typical High
$83.18
Medcost
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$79.43
Typical High
$100.00
Medcost
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$70.79
Typical High
$109.65
Medcost
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$54.95
Sentara
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$87.10
Typical High
$125.89
Sentara
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$87.10
Typical High
$128.82
United
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$54.95
United
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$69.18
Typical High
$123.03

Where Virginia 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.

Virginia $58.88 · 31st 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.