go back

Brief Online Message-Based Doctor Visit

Montana 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?

$17.38

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $17.38 for this service. The price depends on where it is billed: about $16.60 from a physician practice, and about $21.88 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 6 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$16.60$12.88 to $22.91
FacilityA hospital or hospital-owned outpatient department$21.88$15.49 to $25.12

How much rates vary

Facilitymedian $22 · 10th to 90th $12 to $27Professionalmedian $17 · 10th to 90th $11 to $34
$5.0$10.0$20.0$50.0$100.0$200.0$500.0facility $22professional $17

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
Professional
Modifier
Global
Typical Low
$10.72
Median
$14.79
Typical High
$35.48
BCBS
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$23.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$16.98
Median
$19.95
Typical High
$23.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$19.95
Typical High
$38.02
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$20.89
Median
$23.44
Typical High
$26.30
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$23.44
Typical High
$26.30
Providence
Setting
Facility
Modifier
Global
Typical Low
$10.47
Median
$15.49
Typical High
$28.84
Providence
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$30.20
Typical High
$56.23
United
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$19.50
Typical High
$19.50
United
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$21.88
Typical High
$28.18

Where Montana 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.

Montana $17.38 · 7th 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.