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Online Message-Based Visit With Your Doctor, Longer Exchange

Missouri 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?

$30.20

Typical physician fee. In Missouri, October 2026.

Insurers have agreed to pay about $30.20 for this service. Most negotiated rates run $26.30 to $36.31.

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.

How much rates vary

Facilitymedian $44 · 10th to 90th $21 to $115Professionalmedian $30 · 10th to 90th $23 to $158
$20$50$100facility $44professional $30

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
Facility
Modifier
None
Typical Low
$17.78
Median
$21.88
Typical High
$43.65
Aetna
Setting
Professional
Modifier
None
Typical Low
$17.78
Median
$21.38
Typical High
$26.92
Ambetter
Setting
Professional
Modifier
None
Typical Low
$24.55
Median
$30.20
Typical High
$30.20
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$23.99
Median
$28.84
Typical High
$42.66
BCBS Kansas City
Setting
Professional
Modifier
None
Typical Low
$22.39
Median
$30.20
Typical High
$37.15
Cigna
Setting
Professional
Modifier
None
Typical Low
$26.30
Median
$30.90
Typical High
$51.29
Medica
Setting
Facility
Modifier
None
Typical Low
$21.38
Median
$69.18
Typical High
$114.82
Medica
Setting
Professional
Modifier
None
Typical Low
$27.54
Median
$158.49
Typical High
$181.97
Qualchoice
Setting
Professional
Modifier
None
Typical Low
$38.02
Median
$38.02
Typical High
$38.02
United
Setting
Professional
Modifier
None
Typical Low
$22.39
Median
$27.54
Typical High
$40.74

Where Missouri 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.

Missouri· 25th of 51

$30.20

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.