go back

Online Message-Based Visit With Your Doctor, Longer Exchange

Washington, DC rates for HCPCS 99422

An established patient communicates with their doctor or other qualified provider through a secure online patient portal about a new health concern, and the provider reviews the messages, may ask follow-up questions, and provides medical advice, all without an in-person or video visit. This version reflects a more involved exchange over several days than a brief message check-in.

Rates data updated July 2026.

How much does Online Message-Based Visit With Your Doctor, Longer Exchange cost?

$26.30

Typical physician fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $26.30 for this service. Most negotiated rates run $22.91 to $30.20.

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 $21 · 10th to 90th $21 to $24Professionalmedian $26 · 10th to 90th $21 to $36
$20.0$50.0$100.0$200.0facility $21professional $26

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
Professional
Modifier
Global
Typical Low
$20.89
Median
$25.12
Typical High
$32.36
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$23.99
Cigna
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$35.48
Typical High
$89.13
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$33.88
Typical High
$42.66
United
Setting
Facility
Modifier
Global
Typical Low
$20.89
Median
$20.89
Typical High
$23.99
United
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$34.67
Typical High
$60.26

Where Washington, DC sits

The same service costs 2.2 times more in Minnesota than in Kentucky. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Washington, DC $26.30 · 43rd of 51
MN $53.70KY $23.99

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.