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Brief Online Message-Based Doctor Visit

Iowa 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?

$20.42

Typical physician fee. In Iowa, October 2026.

Insurers have agreed to pay about $20.42 for this service. Most negotiated rates run $15.14 to $26.30.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $24 · 10th to 90th $17 to $31Professionalmedian $20 · 10th to 90th $13 to $35
$10$20$50$100facility $24professional $20

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$11.22
Median
$11.22
Typical High
$13.18
Aetna
Setting
Professional
Modifier
None
Typical Low
$11.22
Median
$12.88
Typical High
$14.13
Cigna
Setting
Professional
Modifier
None
Typical Low
$18.20
Median
$22.39
Typical High
$31.62
Hally Health
Setting
Professional
Modifier
None
Typical Low
$12.30
Median
$17.38
Typical High
$40.74
Medica
Setting
Facility
Modifier
None
Typical Low
$17.78
Median
$23.99
Typical High
$30.90
Medica
Setting
Professional
Modifier
None
Typical Low
$16.60
Median
$25.70
Typical High
$93.33
Midlands
Setting
Professional
Modifier
None
Typical Low
$19.05
Median
$20.89
Typical High
$28.18
Midlands
Setting
Professional
Modifier
None
Typical Low
$24.55
Median
$28.18
Typical High
$38.90
Oscar Health
Setting
Professional
Modifier
None
Typical Low
$12.02
Median
$21.88
Typical High
$33.88
United
Setting
Professional
Modifier
None
Typical Low
$13.18
Median
$17.38
Typical High
$30.20
Wellmark
Setting
Professional
Modifier
None
Typical Low
$15.14
Median
$15.14
Typical High
$21.38

Where Iowa 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.

Iowa· 10th of 51

$20.42

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.