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Online Message-Based Visit With Your Doctor, Longer Exchange

Virginia 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?

$28.18

Typical negotiated rate. In Virginia, October 2026.

Insurers have agreed to pay about $28.18 for this service. The price depends on where it is billed: about $28.18 from a physician practice, and about $31.62 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$28.18$25.70 to $33.11
FacilityA hospital or hospital-owned outpatient department$31.62$27.54 to $40.74

How much rates vary

Facilitymedian $32 · 10th to 90th $24 to $120Professionalmedian $28 · 10th to 90th $23 to $38
$20$100$500$2K$10Kfacility $32professional $28

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
Facility
Modifier
None
Typical Low
$23.99
Median
$26.92
Typical High
$30.20
Aetna
Setting
Professional
Modifier
None
Typical Low
$23.99
Median
$26.92
Typical High
$30.20
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$23.44
Median
$29.51
Typical High
$36.31
CareFirst
Setting
Professional
Modifier
None
Typical Low
$19.95
Median
$19.95
Typical High
$23.99
Cigna
Setting
Professional
Modifier
None
Typical Low
$25.70
Median
$26.30
Typical High
$43.65
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$27.54
Median
$33.88
Typical High
$44.67
Medcost
Setting
Professional
Modifier
None
Typical Low
$53.70
Median
$53.70
Typical High
$53.70
Medcost
Setting
Facility
Modifier
None
Typical Low
$21.88
Median
$36.31
Typical High
$42.66
Medcost
Setting
Professional
Modifier
None
Typical Low
$22.91
Median
$26.92
Typical High
$46.77
Sentara
Setting
Facility
Modifier
None
Typical Low
$25.12
Median
$33.11
Typical High
$151.36
Sentara
Setting
Professional
Modifier
None
Typical Low
$28.84
Median
$35.48
Typical High
$43.65
United
Setting
Professional
Modifier
None
Typical Low
$20.89
Median
$26.30
Typical High
$44.67

Where Virginia 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.

Virginia· 34th of 51

$28.18

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.