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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 October 2026.

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

$30.90

Typical negotiated rate. In Michigan, October 2026.

Insurers have agreed to pay about $30.90 for this service. The price depends on where it is billed: about $30.90 from a physician practice, and about $42.66 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$30.90$27.54 to $40.74
FacilityA hospital or hospital-owned outpatient department$42.66$30.20 to $81.28

How much rates vary

Facilitymedian $43 · 10th to 90th $26 to $89Professionalmedian $31 · 10th to 90th $26 to $50
$20$50$100facility $43professional $31

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$25.70
Median
$26.30
Typical High
$30.20
Aetna
Setting
Professional
Modifier
None
Typical Low
$25.70
Median
$27.54
Typical High
$30.20
Ambetter
Setting
Professional
Modifier
None
Typical Low
$19.50
Median
$22.91
Typical High
$22.91
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$42.66
Median
$48.98
Typical High
$50.12
BCBS Michigan
Setting
Professional
Modifier
None
Typical Low
$43.65
Median
$50.12
Typical High
$51.29
CareSource
Setting
Professional
Modifier
None
Typical Low
$26.92
Median
$36.31
Typical High
$43.65
Cigna
Setting
Professional
Modifier
None
Typical Low
$23.99
Median
$33.11
Typical High
$66.07
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$26.30
Median
$83.18
Typical High
$91.20
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$26.30
Median
$30.20
Typical High
$40.74
Priority Health
Setting
Professional
Modifier
None
Typical Low
$22.91
Median
$30.90
Typical High
$57.54
United
Setting
Professional
Modifier
None
Typical Low
$26.92
Median
$30.20
Typical High
$34.67

Where Michigan 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.

Michigan· 24th of 51

$30.90

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.