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Brief Online Message-Based Doctor Visit

Maryland 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?

$13.80

Typical physician fee. In Maryland, July 2026.

Insurers have agreed to pay about $13.80 for this service. Most negotiated rates run $11.75 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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $11 · 10th to 90th $10 to $15Professionalmedian $14 · 10th to 90th $10 to $32
$10.0$100.0$1.0K$10.0K$100.0Kfacility $11professional $14

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
$10.23
Median
$13.18
Typical High
$32.36
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$28.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$17.38
Typical High
$30.20
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$16.60
Typical High
$22.91
United
Setting
Facility
Modifier
Global
Typical Low
$9.55
Median
$11.22
Typical High
$14.79
United
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$15.85
Typical High
$26.92
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$20.89
Typical High
$23.99

Where Maryland 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.

Maryland $13.80 · 29th 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.