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Online Message-Based Visit With Your Doctor, Longer Exchange

Delaware 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?

$23.99

Typical physician fee. In Delaware, July 2026.

Insurers have agreed to pay about $23.99 for this service. Most negotiated rates run $22.39 to $28.84.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $24 · 10th to 90th $20 to $36
$20.0$50.0$100.0$200.0professional $24

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
Professional
Modifier
Global
Typical Low
$19.95
Median
$23.44
Typical High
$31.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$36.31
Typical High
$57.54
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$30.20
Typical High
$53.70
United
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$30.20
Typical High
$50.12

Where Delaware 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.

Delaware $23.99 · 49th 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.