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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 July 2026.

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

$26.30

Typical physician fee. In Maryland, July 2026.

Insurers have agreed to pay about $26.30 for this service. Most negotiated rates run $22.91 to $33.11.

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

Facilitymedian $23 · 10th to 90th $19 to $30Professionalmedian $26 · 10th to 90th $20 to $62
$100.0$1.0K$10.0K$100.0Kfacility $23professional $26

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$26.30
Typical High
$64.57
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$138.04
Median
$138.04
Typical High
$138.04
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$28.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$34.67
Typical High
$60.26
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$32.36
Typical High
$44.67
United
Setting
Facility
Modifier
Global
Typical Low
$19.05
Median
$23.44
Typical High
$29.51
United
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$32.36
Typical High
$53.70
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$40.74
Typical High
$46.77

Where Maryland 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.

Maryland $26.30 · 40th 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.