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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 July 2026.

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

$19.05

Typical negotiated rate. In North Dakota, July 2026.

Insurers have agreed to pay about $19.05 for this service. The price depends on where it is billed: about $20.89 from a physician practice, and about $13.80 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 5 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$20.89$13.49 to $31.62
FacilityA hospital or hospital-owned outpatient department$13.80$12.88 to $15.85

How much rates vary

Facilitymedian $14 · 10th to 90th $12 to $22Professionalmedian $21 · 10th to 90th $11 to $38
$10.0$20.0$50.0$100.0facility $14professional $21

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
$11.75
Median
$12.88
Typical High
$15.14
Aetna
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$15.14
Typical High
$38.02
BCBS
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$29.51
Typical High
$38.02
Cigna
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$27.54
Typical High
$41.69
Medica
Setting
Facility
Modifier
Global
Typical Low
$11.22
Median
$15.85
Typical High
$27.54
Medica
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$28.18
Typical High
$93.33
United
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$19.50
Typical High
$19.50
United
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$21.38
Typical High
$36.31

Where North Dakota 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.

North Dakota $19.05 · 5th 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.