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Online Message-Based Visit With Your Doctor, Longer Exchange

Maryland 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?

$24.55

Typical physician fee. In Maryland, October 2026.

Insurers have agreed to pay about $24.55 for this service. Most negotiated rates run $22.91 to $28.18.

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 $25 · 10th to 90th $20 to $35
$20$50professional $25

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
$22.91
Median
$25.70
Typical High
$28.18
CareFirst
Setting
Professional
Modifier
None
Typical Low
$19.95
Median
$19.95
Typical High
$25.12
Cigna
Setting
Professional
Modifier
None
Typical Low
$22.39
Median
$25.70
Typical High
$41.69
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$23.99
Median
$32.36
Typical High
$47.86
United
Setting
Professional
Modifier
None
Typical Low
$20.89
Median
$26.30
Typical High
$44.67
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$32.36
Median
$45.71
Typical High
$48.98

Where Maryland 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.

Maryland· 47th of 51

$24.55

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.