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Online Message-Based Visit With Your Doctor, Longer Exchange

Louisiana 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 negotiated rate. In Louisiana, July 2026.

Insurers have agreed to pay about $26.92 for this service. The price depends on where it is billed: about $26.92 from a physician practice, and about $29.51 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 5 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$26.92$23.44 to $30.90
FacilityA hospital or hospital-owned outpatient department$29.51$26.92 to $33.88

How much rates vary

Facilitymedian $30 · 10th to 90th $25 to $38Professionalmedian $27 · 10th to 90th $21 to $40
$20.0$50.0$100.0$200.0facility $30professional $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
Facility
Modifier
Global
Typical Low
$26.92
Median
$29.51
Typical High
$41.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$26.30
Typical High
$35.48
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$27.54
Median
$27.54
Typical High
$57.54
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$30.90
Typical High
$35.48
Christus
Setting
Facility
Modifier
Global
Typical Low
$22.39
Median
$24.55
Typical High
$24.55
Cigna
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$32.36
Typical High
$69.18
United
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$38.02
Typical High
$38.02
United
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$28.84
Typical High
$44.67

Where Louisiana 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.

Louisiana $26.92 · 31st 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.