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Online Message-Based Visit With Your Doctor, Longer Exchange

Michigan 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?

$27.54

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $27.54 for this service. The price depends on where it is billed: about $27.54 from a physician practice, and about $30.20 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 8 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$27.54$23.44 to $35.48
FacilityA hospital or hospital-owned outpatient department$30.20$26.30 to $33.11

How much rates vary

Facilitymedian $30 · 10th to 90th $26 to $54Professionalmedian $28 · 10th to 90th $21 to $51
$10.0$20.0$50.0$100.0$200.0facility $30professional $28

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
$26.30
Median
$26.30
Typical High
$30.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$26.30
Typical High
$39.81
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$30.20
Typical High
$38.02
BCBS
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$53.70
Typical High
$53.70
BCBS
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$51.29
Typical High
$51.29
CareSource
Setting
Facility
Modifier
Global
Typical Low
$19.05
Median
$30.90
Typical High
$33.88
CareSource
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$37.15
Typical High
$38.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$35.48
Typical High
$85.11
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$30.90
Typical High
$81.28
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$27.54
Typical High
$44.67
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$60.26
Typical High
$107.15
United
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$27.54
Typical High
$38.02
United
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$32.36
Typical High
$57.54

Where Michigan 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.

Michigan $27.54 · 27th 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.