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Alcohol or Substance Misuse Assessment, over 30 Minutes

Nationwide rates for HCPCS G0397

Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes

Rates data updated July 2026.

Facilitymedian $68 · 10th–90th $50$1230%20%40%10th90th$68Professionalmedian $65 · 10th–90th $47$850%20%40%10th90th$65$0.1$1.0$10.0$100.0$1.0K$10.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$64.57
Typical High
$85.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$63.10
Typical High
$75.86
BCBS
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$87.10
Typical High
$87.10
BCBS
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$67.61
Typical High
$117.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$257.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$93.33
United
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$64.57
Typical High
$117.49
United
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$74.13
Typical High
$138.04