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Brief Online Message-Based Doctor Visit

Washington, DC rates for HCPCS 99421

This is a brief, message-based check-in with a doctor or other qualified provider through a secure online patient portal, for an established patient with a new concern that doesn't require an in-person visit. It covers the shorter end of the time a provider spends addressing the concern over a multi-day period. Longer or more involved online exchanges are billed as a separate, more involved service.

Rates data updated July 2026.

How much does Brief Online Message-Based Doctor Visit cost?

$12.88

Typical physician fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $12.88 for this service. Most negotiated rates run $11.75 to $15.14.

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 $10 · 10th to 90th $10 to $12Professionalmedian $13 · 10th to 90th $10 to $19
$10.0$20.0$50.0$100.0facility $10professional $13

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
Professional
Modifier
Global
Typical Low
$10.47
Median
$12.59
Typical High
$15.85
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$23.99
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$17.78
Typical High
$44.67
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$17.38
Typical High
$21.88
United
Setting
Facility
Modifier
Global
Typical Low
$10.00
Median
$10.00
Typical High
$11.75
United
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$17.38
Typical High
$30.20

Where Washington, DC sits

The same service costs 2.2 times more in Minnesota than in Delaware. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Washington, DC $12.88 · 48th of 51
MN $26.92DE $12.02

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.