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Online Message-Based Visit With Your Doctor, Longer Exchange

Iowa 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?

$32.36

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $32.36 for this service. The price depends on where it is billed: about $32.36 from a physician practice, and about $28.84 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$32.36$24.55 to $54.95
FacilityA hospital or hospital-owned outpatient department$28.84$23.44 to $43.65

How much rates vary

Facilitymedian $29 · 10th to 90th $22 to $54Professionalmedian $32 · 10th to 90th $22 to $105
$20.0$50.0$100.0$200.0facility $29professional $32

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
Facility
Modifier
Global
Typical Low
$26.30
Median
$46.77
Typical High
$53.70
Aetna
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$28.84
Typical High
$107.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$50.12
Typical High
$77.62
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$42.66
Typical High
$85.11
Medica
Setting
Facility
Modifier
Global
Typical Low
$21.38
Median
$26.30
Typical High
$51.29
Medica
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$46.77
Typical High
$181.97
Midlands
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$51.29
Typical High
$72.44
Midlands
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$54.95
Typical High
$77.62
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$41.69
Typical High
$64.57
United
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$37.15
Typical High
$42.66
United
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$39.81
Typical High
$70.79
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$31.62
Typical High
$42.66

Where Iowa 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.

Iowa $32.36 · 11th 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.