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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 July 2026.

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

$27.54

Typical negotiated rate. In Missouri, 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 $28.84 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 $34.67
FacilityA hospital or hospital-owned outpatient department$28.84$22.91 to $38.02

How much rates vary

Facilitymedian $29 · 10th to 90th $20 to $49Professionalmedian $28 · 10th to 90th $21 to $62
$20.0$50.0$100.0$200.0facility $29professional $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
$33.88
Median
$38.90
Typical High
$43.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$25.70
Typical High
$79.43
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$30.20
Typical High
$34.67
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$30.20
Typical High
$42.66
BCBS
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$30.20
Typical High
$41.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$31.62
Typical High
$31.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$37.15
Typical High
$63.10
Medica
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$26.92
Typical High
$50.12
Medica
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$38.02
Typical High
$181.97
Qualchoice
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$38.02
United
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$42.66
Typical High
$42.66
United
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$30.90
Typical High
$50.12

Where Missouri 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.

Missouri $27.54 · 26th 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.