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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 October 2026.

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

$14.13

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

Insurers have agreed to pay about $14.13 for this service. Most negotiated rates run $12.02 to $19.95.

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 $12 · 10th to 90th $12 to $14Professionalmedian $14 · 10th to 90th $11 to $23
$10$20facility $12professional $14

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$12.02
Median
$12.02
Typical High
$14.13
Aetna
Setting
Professional
Modifier
None
Typical Low
$11.75
Median
$12.88
Typical High
$14.13
CareFirst
Setting
Professional
Modifier
None
Typical Low
$19.95
Median
$19.95
Typical High
$20.89
Cigna
Setting
Professional
Modifier
None
Typical Low
$11.75
Median
$12.88
Typical High
$25.70
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$14.79
Median
$16.60
Typical High
$21.88
United
Setting
Professional
Modifier
None
Typical Low
$10.23
Median
$13.80
Typical High
$28.18

Where Washington, DC sits

The same service costs 2.9 times more in Alaska than in Kentucky. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Washington, DC· 35th of 51

$14.13

AK $33.88KY $11.75

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.