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Online Message-Based Visit With Your Doctor, Longer Exchange

Montana 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?

$39.81

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $39.81 for this service. The price depends on where it is billed: about $39.81 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$39.81$34.67 to $46.77
FacilityA hospital or hospital-owned outpatient department$42.66$38.90 to $53.70

How much rates vary

Facilitymedian $43 · 10th to 90th $38 to $58Professionalmedian $40 · 10th to 90th $28 to $52
$50facility $43professional $40

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
Professional
Modifier
None
Typical Low
$21.38
Median
$26.92
Typical High
$36.31
BCBS Montana
Setting
Professional
Modifier
None
Typical Low
$35.48
Median
$39.81
Typical High
$46.77
Cigna
Setting
Facility
Modifier
None
Typical Low
$39.81
Median
$39.81
Typical High
$54.95
Cigna
Setting
Professional
Modifier
None
Typical Low
$33.88
Median
$39.81
Typical High
$46.77
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$38.02
Median
$43.65
Typical High
$57.54
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$32.36
Median
$40.74
Typical High
$56.23
Providence
Setting
Facility
Modifier
None
Typical Low
$39.81
Median
$39.81
Typical High
$54.95
Providence
Setting
Professional
Modifier
None
Typical Low
$26.30
Median
$39.81
Typical High
$60.26
United
Setting
Professional
Modifier
None
Typical Low
$38.02
Median
$45.71
Typical High
$53.70

Where Montana 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.

Montana· 11th of 51

$39.81

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.