go back

Brief Online Message-Based Doctor Visit

Nebraska 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?

$20.42

Typical negotiated rate. In Nebraska, October 2026.

Insurers have agreed to pay about $20.42 for this service. The price depends on where it is billed: about $20.42 from a physician practice, and about $21.38 from a hospital or other facility.

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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$20.42$15.49 to $28.84
FacilityA hospital or hospital-owned outpatient department$21.38$17.78 to $25.12

How much rates vary

Facilitymedian $21 · 10th to 90th $11 to $58Professionalmedian $20 · 10th to 90th $11 to $36
$10$20$50$100facility $21professional $20

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$11.22
Median
$11.22
Typical High
$13.18
Aetna
Setting
Professional
Modifier
None
Typical Low
$11.22
Median
$13.18
Typical High
$14.45
Ambetter
Setting
Professional
Modifier
None
Typical Low
$26.30
Median
$31.62
Typical High
$34.67
BCBS Nebraska
Setting
Facility
Modifier
None
Typical Low
$20.42
Median
$20.42
Typical High
$23.99
BCBS Nebraska
Setting
Professional
Modifier
None
Typical Low
$10.47
Median
$18.20
Typical High
$23.99
Cigna
Setting
Professional
Modifier
None
Typical Low
$24.55
Median
$28.84
Typical High
$36.31
Medica
Setting
Facility
Modifier
None
Typical Low
$13.18
Median
$23.44
Typical High
$57.54
Medica
Setting
Professional
Modifier
None
Typical Low
$17.78
Median
$36.31
Typical High
$93.33
Midlands
Setting
Professional
Modifier
None
Typical Low
$25.12
Median
$28.84
Typical High
$38.90
Midlands
Setting
Professional
Modifier
None
Typical Low
$25.12
Median
$30.90
Typical High
$39.81
United
Setting
Professional
Modifier
None
Typical Low
$15.14
Median
$27.54
Typical High
$37.15
1 more rate with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Ambetter
Setting
Professional
Modifier
GC · Resident with teaching physician
Typical Low
$34.67
Median
$34.67
Typical High
$34.67

Where Nebraska 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.

Nebraska· 9th of 51

$20.42

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.