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Brief Online Message-Based Doctor Visit

Vermont 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?

$15.49

Typical physician fee. In Vermont, July 2026.

Insurers have agreed to pay about $15.49 for this service. Most negotiated rates run $12.59 to $21.88.

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.

How much rates vary

Facilitymedian $14 · 10th to 90th $12 to $19Professionalmedian $15 · 10th to 90th $10 to $51
$5.0$10.0$20.0$50.0facility $14professional $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. 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
Global
Typical Low
$12.88
Median
$12.88
Typical High
$15.14
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$15.14
Typical High
$51.29
BCBS
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$21.88
Typical High
$23.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$18.20
Typical High
$26.30
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$18.20
Typical High
$26.30
United
Setting
Facility
Modifier
Global
Typical Low
$12.30
Median
$14.13
Typical High
$19.50
United
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$18.20
Typical High
$35.48

Where Vermont 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.

Vermont $15.49 · 19th 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.