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Online Message-Based Visit With Your Doctor, Longer Exchange

Vermont 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?

$30.90

Typical physician fee. In Vermont, July 2026.

Insurers have agreed to pay about $30.90 for this service. Most negotiated rates run $26.30 to $43.65.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $28 · 10th to 90th $25 to $38Professionalmedian $31 · 10th to 90th $23 to $105
$20.0$50.0$100.0facility $28professional $31

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. 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
Global
Typical Low
$26.30
Median
$26.30
Typical High
$30.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$30.20
Typical High
$151.36
BCBS
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$43.65
Typical High
$45.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$36.31
Typical High
$52.48
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$36.31
Typical High
$52.48
United
Setting
Facility
Modifier
Global
Typical Low
$25.12
Median
$28.18
Typical High
$38.02
United
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$37.15
Typical High
$61.66

Where Vermont 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.

Vermont $30.90 · 18th 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.