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Online Message-Based Visit With Your Doctor, Longer Exchange

Hawaii 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?

$26.92

Typical physician fee. In Hawaii, July 2026.

Insurers have agreed to pay about $26.92 for this service. Most negotiated rates run $23.44 to $34.67.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $27 · 10th to 90th $22 to $71
$20.0$50.0$100.0$200.0$500.0professional $27

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
$21.38
Median
$26.92
Typical High
$70.79
Cigna
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$37.15
Typical High
$117.49
HMSA
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$37.15
Typical High
$40.74
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$33.88
Typical High
$44.67
United
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$30.90
Typical High
$47.86
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$35.48
Typical High
$36.31

Where Hawaii 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.

Hawaii $26.92 · 35th 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.