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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 July 2026.

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

$15.85

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $15.85 for this service. The price depends on where it is billed: about $15.85 from a physician practice, and about $14.45 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$15.85$12.59 to $26.30
FacilityA hospital or hospital-owned outpatient department$14.45$11.75 to $22.39

How much rates vary

Facilitymedian $14 · 10th to 90th $11 to $27Professionalmedian $16 · 10th to 90th $11 to $43
$5.0$10.0$20.0$50.0$100.0facility $14professional $16

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$23.44
Typical High
$26.92
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$14.79
Typical High
$47.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$25.12
Typical High
$38.90
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$21.88
Typical High
$46.77
Medica
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$13.18
Typical High
$25.70
Medica
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$23.44
Typical High
$93.33
Midlands
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$25.70
Typical High
$36.31
Midlands
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$27.54
Typical High
$38.90
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$20.42
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$18.62
Typical High
$21.38
United
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$19.95
Typical High
$33.88
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$15.49
Typical High
$21.38

Where Iowa 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.

Iowa $15.85 · 14th 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.