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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 July 2026.

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

$26.92

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $26.92 for this service. The price depends on where it is billed: about $26.92 from a physician practice, and about $33.88 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 7 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$26.92$22.39 to $44.67
FacilityA hospital or hospital-owned outpatient department$33.88$23.99 to $43.65

How much rates vary

Facilitymedian $34 · 10th to 90th $21 to $54Professionalmedian $27 · 10th to 90th $20 to $68
$20.0$50.0$100.0facility $34professional $27

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
$26.30
Median
$26.30
Typical High
$30.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$23.99
Typical High
$69.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$48.98
Typical High
$66.07
Medica
Setting
Facility
Modifier
Global
Typical Low
$19.05
Median
$34.67
Typical High
$53.70
Medica
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$47.86
Typical High
$181.97
Midlands
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$51.29
Typical High
$60.26
Midlands
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$34.67
Typical High
$39.81
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$35.48
Typical High
$61.66
United
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$38.02
Typical High
$38.02
United
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$38.90
Typical High
$61.66
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$31.62
Typical High
$43.65

Where South 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.

South Dakota $26.92 · 28th 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.