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Online Message-Based Visit With Your Doctor, Longer Exchange

Massachusetts 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?

$36.31

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $36.31 for this service. The price depends on where it is billed: about $37.15 from a physician practice, and about $26.92 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 9 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$37.15$26.92 to $57.54
FacilityA hospital or hospital-owned outpatient department$26.92$18.62 to $30.90

How much rates vary

Facilitymedian $27 · 10th to 90th $12 to $40Professionalmedian $37 · 10th to 90th $22 to $78
$10.0$20.0$50.0$100.0$200.0facility $27professional $37

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
$26.92
Typical High
$30.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$26.92
Typical High
$77.62
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$18.62
Median
$158.49
Typical High
$158.49
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$37.15
Typical High
$81.28
BCBS
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$28.84
Typical High
$66.07
BCBS
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$51.29
Typical High
$74.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$39.81
Typical High
$69.18
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$25.12
Typical High
$36.31
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$27.54
Typical High
$45.71
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$45.71
Typical High
$75.86
Health New England
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$45.71
Typical High
$295.12
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$18.62
Median
$158.49
Typical High
$158.49
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$37.15
Typical High
$81.28
United
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$33.11
Typical High
$44.67
United
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$40.74
Typical High
$81.28

Where Massachusetts 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.

Massachusetts $36.31 · 6th 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.