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Brief Online Message-Based Doctor Visit

Oregon 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?

$22.91

Typical negotiated rate. In Oregon, October 2026.

Insurers have agreed to pay about $22.91 for this service. The price depends on where it is billed: about $22.39 from a physician practice, and about $28.84 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$22.39$17.78 to $27.54
FacilityA hospital or hospital-owned outpatient department$28.84$18.20 to $29.51

How much rates vary

Facilitymedian $29 · 10th to 90th $17 to $32Professionalmedian $22 · 10th to 90th $15 to $38
$20$50facility $29professional $22

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
Professional
Modifier
None
Typical Low
$12.88
Median
$15.49
Typical High
$17.78
Cigna
Setting
Professional
Modifier
None
Typical Low
$15.85
Median
$24.55
Typical High
$38.90
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$20.89
Median
$28.18
Typical High
$38.90
Moda Health
Setting
Facility
Modifier
None
Typical Low
$15.49
Median
$25.70
Typical High
$41.69
Moda Health
Setting
Professional
Modifier
None
Typical Low
$13.49
Median
$17.78
Typical High
$31.62
Pacific Source
Setting
Facility
Modifier
None
Typical Low
$17.38
Median
$28.84
Typical High
$30.20
Providence
Setting
Facility
Modifier
None
Typical Low
$12.59
Median
$20.89
Typical High
$37.15
Providence
Setting
Professional
Modifier
None
Typical Low
$18.62
Median
$27.54
Typical High
$48.98
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$20.89
Median
$23.99
Typical High
$26.30
United
Setting
Professional
Modifier
None
Typical Low
$19.05
Median
$25.12
Typical High
$40.74

Where Oregon 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.

Oregon· 6th of 51

$22.91

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.