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Brief Online Message-Based Doctor Visit

Hawaii 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?

$13.49

Typical physician fee. In Hawaii, July 2026.

Insurers have agreed to pay about $13.49 for this service. Most negotiated rates run $11.75 to $18.20.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $54 · 10th to 90th $54 to $54Professionalmedian $13 · 10th to 90th $11 to $35
$5.0$10.0$20.0$50.0$100.0$200.0$500.0facility $54professional $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
Facility
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$53.70
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$13.18
Typical High
$46.77
Cigna
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$19.05
Typical High
$60.26
HMSA
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$18.62
Typical High
$19.95
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$17.38
Typical High
$22.91
United
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$15.49
Typical High
$23.99
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$17.78
Typical High
$18.62

Where Hawaii 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.

Hawaii $13.49 · 34th 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.