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Online Message-Based Visit With Your Doctor, Longer Exchange

North Dakota 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?

$37.15

Typical negotiated rate. In North Dakota, July 2026.

Insurers have agreed to pay about $37.15 for this service. The price depends on where it is billed: about $37.15 from a physician practice, and about $26.92 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 5 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$37.15$26.92 to $57.54
FacilityA hospital or hospital-owned outpatient department$26.92$26.30 to $31.62

How much rates vary

Facilitymedian $27 · 10th to 90th $23 to $45Professionalmedian $37 · 10th to 90th $23 to $71
$20.0$50.0$100.0$200.0facility $27professional $37

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
$22.91
Median
$26.30
Typical High
$30.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$26.92
Typical High
$57.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$57.54
Typical High
$74.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$54.95
Typical High
$81.28
Medica
Setting
Facility
Modifier
Global
Typical Low
$22.39
Median
$31.62
Typical High
$54.95
Medica
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$54.95
Typical High
$181.97
United
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$38.02
Typical High
$38.02
United
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$43.65
Typical High
$72.44

Where North Dakota 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.

North Dakota $37.15 · 5th 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.