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Brief Online Message-Based Doctor Visit

Virginia 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?

$14.79

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $14.79 for this service. The price depends on where it is billed: about $14.79 from a physician practice, and about $15.14 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 8 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$14.79$12.30 to $19.05
FacilityA hospital or hospital-owned outpatient department$15.14$13.18 to $19.05

How much rates vary

Facilitymedian $15 · 10th to 90th $12 to $24Professionalmedian $15 · 10th to 90th $11 to $27
$1.0$10.0$100.0$1.0Kfacility $15professional $15

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
$12.02
Median
$12.88
Typical High
$15.14
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$12.88
Typical High
$25.70
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$17.38
Typical High
$28.18
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$27.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15.49
Median
$15.49
Typical High
$17.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$18.20
Typical High
$29.51
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$17.38
Typical High
$26.30
Medcost
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$26.92
Typical High
$26.92
Medcost
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$15.14
Typical High
$23.99
Medcost
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$13.18
Typical High
$22.91
Sentara
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$16.22
Typical High
$23.99
Sentara
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$18.62
Typical High
$28.18
United
Setting
Facility
Modifier
Global
Typical Low
$9.33
Median
$12.02
Typical High
$20.89
United
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$16.22
Typical High
$26.30

Where Virginia 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.

Virginia $14.79 · 22nd 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.