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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 October 2026.

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

$18.20

Typical physician fee. In Vermont, October 2026.

Insurers have agreed to pay about $18.20 for this service. Most negotiated rates run $15.49 to $21.38.

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

Professionalmedian $18 · 10th to 90th $13 to $22
$10$20professional $18

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
$11.75
Median
$13.80
Typical High
$16.60
BCBS Vermont
Setting
Professional
Modifier
None
Typical Low
$18.62
Median
$21.88
Typical High
$21.88
Cigna
Setting
Professional
Modifier
None
Typical Low
$15.49
Median
$15.49
Typical High
$19.95
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$15.85
Median
$18.20
Typical High
$23.44
United
Setting
Professional
Modifier
None
Typical Low
$14.45
Median
$18.20
Typical High
$21.88

Where Vermont 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.

Vermont· 17th of 51

$18.20

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.