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Brief Online Message-Based Doctor Visit

Missouri 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?

$15.14

Typical physician fee. In Missouri, October 2026.

Insurers have agreed to pay about $15.14 for this service. Most negotiated rates run $13.18 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 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $22 · 10th to 90th $11 to $58Professionalmedian $15 · 10th to 90th $11 to $81
$10$20$50$100facility $22professional $15

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
$9.12
Median
$11.22
Typical High
$21.88
Aetna
Setting
Professional
Modifier
None
Typical Low
$9.12
Median
$10.72
Typical High
$13.80
Ambetter
Setting
Professional
Modifier
None
Typical Low
$15.49
Median
$15.49
Typical High
$23.44
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$11.75
Median
$14.45
Typical High
$20.89
BCBS Kansas City
Setting
Professional
Modifier
None
Typical Low
$10.96
Median
$15.14
Typical High
$18.62
Cigna
Setting
Professional
Modifier
None
Typical Low
$13.49
Median
$15.49
Typical High
$25.70
Medica
Setting
Facility
Modifier
None
Typical Low
$10.96
Median
$35.48
Typical High
$57.54
Medica
Setting
Professional
Modifier
None
Typical Low
$13.80
Median
$81.28
Typical High
$93.33
Qualchoice
Setting
Professional
Modifier
None
Typical Low
$19.50
Median
$19.50
Typical High
$19.50
United
Setting
Professional
Modifier
None
Typical Low
$10.72
Median
$13.80
Typical High
$20.42

Where Missouri 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.

Missouri· 24th of 51

$15.14

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.