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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 July 2026.

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

$13.18

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $13.18 for this service. The price depends on where it is billed: about $13.18 from a physician practice, and about $17.38 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 7 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$13.18$11.48 to $17.78
FacilityA hospital or hospital-owned outpatient department$17.38$13.18 to $22.39

How much rates vary

Facilitymedian $17 · 10th to 90th $11 to $27Professionalmedian $13 · 10th to 90th $10 to $27
$0.1$1.0$10.0$100.0facility $17professional $13

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
$11.22
Median
$11.22
Typical High
$13.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$13.18
Typical High
$18.62
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$25.70
Typical High
$34.67
BCBS
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$23.99
Typical High
$23.99
BCBS
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$20.42
Typical High
$28.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$28.18
Typical High
$44.67
Medica
Setting
Facility
Modifier
Global
Typical Low
$11.22
Median
$17.38
Typical High
$27.54
Medica
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$26.92
Typical High
$93.33
Midlands
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$25.70
Typical High
$30.90
Midlands
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$28.18
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$0.02
Median
$0.02
Typical High
$19.50
United
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$21.88
Typical High
$36.31

Where Nebraska 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.

Nebraska $13.18 · 39th 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.