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Online Message-Based Visit With Your Doctor, Longer Exchange

Oregon 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?

$39.81

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $39.81 for this service. The price depends on where it is billed: about $38.90 from a physician practice, and about $42.66 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$38.90$26.30 to $60.26
FacilityA hospital or hospital-owned outpatient department$42.66$30.90 to $57.54

How much rates vary

Facilitymedian $43 · 10th to 90th $23 to $59Professionalmedian $39 · 10th to 90th $23 to $81
$10.0$100.0$1.0K$10.0Kfacility $43professional $39

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
$53.70
Median
$58.88
Typical High
$69.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$28.18
Typical High
$95.50
Cigna
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$52.48
Typical High
$79.43
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$54.95
Typical High
$74.13
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$33.11
Typical High
$54.95
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$53.70
Typical High
$75.86
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$57.54
Typical High
$57.54
Providence
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$32.36
Typical High
$57.54
Providence
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$58.88
Typical High
$79.43
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$57.54
Typical High
$79.43
United
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$38.02
Typical High
$38.02
United
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$51.29
Typical High
$74.13

Where Oregon 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.

Oregon $39.81 · 3rd 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.