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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 October 2026.

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

$41.69

Typical physician fee. In Iowa, October 2026.

Insurers have agreed to pay about $41.69 for this service. Most negotiated rates run $30.90 to $52.48.

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.

How much rates vary

Facilitymedian $47 · 10th to 90th $35 to $60Professionalmedian $42 · 10th to 90th $26 to $69
$20$50$100facility $47professional $42

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
Facility
Modifier
None
Typical Low
$22.39
Median
$22.39
Typical High
$25.70
Aetna
Setting
Professional
Modifier
None
Typical Low
$22.39
Median
$25.70
Typical High
$30.20
Cigna
Setting
Professional
Modifier
None
Typical Low
$36.31
Median
$43.65
Typical High
$61.66
Hally Health
Setting
Professional
Modifier
None
Typical Low
$24.55
Median
$34.67
Typical High
$79.43
Medica
Setting
Facility
Modifier
None
Typical Low
$34.67
Median
$48.98
Typical High
$60.26
Medica
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$51.29
Typical High
$181.97
Midlands
Setting
Professional
Modifier
None
Typical Low
$37.15
Median
$40.74
Typical High
$56.23
Midlands
Setting
Professional
Modifier
None
Typical Low
$47.86
Median
$56.23
Typical High
$77.62
Oscar Health
Setting
Professional
Modifier
None
Typical Low
$23.99
Median
$44.67
Typical High
$66.07
United
Setting
Professional
Modifier
None
Typical Low
$26.92
Median
$34.67
Typical High
$60.26
Wellmark
Setting
Professional
Modifier
None
Typical Low
$30.90
Median
$30.90
Typical High
$42.66

Where Iowa 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.

Iowa· 9th of 51

$41.69

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.