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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 October 2026.

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

$37.15

Typical physician fee. In Hawaii, October 2026.

Insurers have agreed to pay about $37.15 for this service. Most negotiated rates run $33.11 to $37.15.

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 $37 · 10th to 90th $28 to $39
$50professional $37

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
$21.38
Median
$26.92
Typical High
$36.31
Cigna
Setting
Professional
Modifier
None
Typical Low
$37.15
Median
$37.15
Typical High
$37.15
HMSA
Setting
Professional
Modifier
None
Typical Low
$28.84
Median
$37.15
Typical High
$38.90
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$24.55
Median
$31.62
Typical High
$39.81
United
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$37.15
Typical High
$37.15
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$26.30
Median
$36.31
Typical High
$36.31

Where Hawaii 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.

Hawaii· 15th of 51

$37.15

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.