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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 October 2026.

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

$25.70

Typical physician fee. In Delaware, October 2026.

Insurers have agreed to pay about $25.70 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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $23 · 10th to 90th $20 to $32Professionalmedian $26 · 10th to 90th $20 to $35
$20$50facility $23professional $26

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$19.95
Median
$19.95
Typical High
$22.91
Aetna
Setting
Professional
Modifier
None
Typical Low
$19.95
Median
$22.91
Typical High
$30.20
Cigna
Setting
Facility
Modifier
None
Typical Low
$31.62
Median
$31.62
Typical High
$31.62
Cigna
Setting
Professional
Modifier
None
Typical Low
$25.70
Median
$30.20
Typical High
$38.02
Highmark BCBS
Setting
Professional
Modifier
None
Typical Low
$28.18
Median
$46.77
Typical High
$54.95
United
Setting
Professional
Modifier
None
Typical Low
$20.89
Median
$25.12
Typical High
$36.31

Where Delaware sits

The same service costs 2.8 times more in Alaska than in New Jersey. 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.

Delaware· 43rd of 51

$25.70

AK $66.07NJ $23.44

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.