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Online Message-Based Visit With Your Doctor, Longer Exchange

South 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 October 2026.

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

$43.65

Typical physician fee. In South Dakota, October 2026.

Insurers have agreed to pay about $43.65 for this service. Most negotiated rates run $31.62 to $57.54.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $32 · 10th to 90th $22 to $38Professionalmedian $45 · 10th to 90th $24 to $65
$20$50$100facility $32professional $45

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$26.30
Median
$26.30
Typical High
$30.20
Aetna
Setting
Professional
Modifier
None
Typical Low
$18.62
Median
$21.88
Typical High
$28.18
Cigna
Setting
Professional
Modifier
None
Typical Low
$41.69
Median
$54.95
Typical High
$64.57
Medica
Setting
Facility
Modifier
None
Typical Low
$21.88
Median
$31.62
Typical High
$38.02
Medica
Setting
Professional
Modifier
None
Typical Low
$28.84
Median
$57.54
Typical High
$181.97
Midlands
Setting
Professional
Modifier
None
Typical Low
$43.65
Median
$50.12
Typical High
$57.54
Midlands
Setting
Professional
Modifier
None
Typical Low
$34.67
Median
$39.81
Typical High
$60.26
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$29.51
Median
$35.48
Typical High
$60.26
United
Setting
Professional
Modifier
None
Typical Low
$23.44
Median
$41.69
Typical High
$58.88
Wellmark
Setting
Professional
Modifier
None
Typical Low
$30.90
Median
$31.62
Typical High
$43.65

Where South Dakota 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.

South Dakota· 7th of 51

$43.65

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.