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Brief Online Message-Based Doctor Visit

North Dakota 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?

$25.70

Typical physician fee. In North Dakota, October 2026.

Insurers have agreed to pay about $25.70 for this service. Most negotiated rates run $17.38 to $31.62.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $15 · 10th to 90th $13 to $21Professionalmedian $26 · 10th to 90th $13 to $37
$10$20$50$100facility $15professional $26

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
$12.88
Median
$12.88
Typical High
$15.14
Aetna
Setting
Professional
Modifier
None
Typical Low
$11.48
Median
$13.49
Typical High
$16.98
BCBS North Dakota
Setting
Professional
Modifier
None
Typical Low
$21.88
Median
$27.54
Typical High
$37.15
Cigna
Setting
Professional
Modifier
None
Typical Low
$20.89
Median
$27.54
Typical High
$40.74
Medica
Setting
Facility
Modifier
None
Typical Low
$12.88
Median
$15.14
Typical High
$38.90
Medica
Setting
Professional
Modifier
None
Typical Low
$14.13
Median
$29.51
Typical High
$93.33
United
Setting
Professional
Modifier
None
Typical Low
$11.75
Median
$19.50
Typical High
$30.20

Where North Dakota 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.

North Dakota· 3rd of 51

$25.70

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.