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Extended Substance Use Screening And Counseling

Vermont 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?

$69.18

Typical physician fee. In Vermont, July 2026.

Insurers have agreed to pay about $69.18 for this service. Most negotiated rates run $57.54 to $77.62.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $69 · 10th to 90th $60 to $81Professionalmedian $69 · 10th to 90th $51 to $91
$50.0$100.0facility $69professional $69

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$69.18
Typical High
$81.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$67.61
Typical High
$87.10
BCBS
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$95.50
Typical High
$95.50
Cigna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$85.11
Typical High
$138.04
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$81.28
Typical High
$151.36
United
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$69.18
Typical High
$104.71

Where Vermont 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.

Vermont $69.18 · 1st 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.