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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 July 2026.

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

$28.84

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $28.84 for this service. The price depends on where it is billed: about $28.18 from a physician practice, and about $30.90 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$28.18$23.99 to $37.15
FacilityA hospital or hospital-owned outpatient department$30.90$26.92 to $38.02

How much rates vary

Facilitymedian $31 · 10th to 90th $23 to $48Professionalmedian $28 · 10th to 90th $21 to $52
$10.0$100.0$1.0Kfacility $31professional $28

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
$23.99
Median
$26.92
Typical High
$30.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$26.30
Typical High
$46.77
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$33.88
Typical High
$53.70
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$27.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$31.62
Typical High
$35.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$36.31
Typical High
$58.88
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$33.88
Typical High
$51.29
Medcost
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$53.70
Medcost
Setting
Facility
Modifier
Global
Typical Low
$22.39
Median
$30.20
Typical High
$47.86
Medcost
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$26.92
Typical High
$46.77
Sentara
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$33.11
Typical High
$48.98
Sentara
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$37.15
Typical High
$54.95
United
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$24.55
Typical High
$41.69
United
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$32.36
Typical High
$53.70

Where Virginia 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.

Virginia $28.84 · 22nd 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.