Amazon Clinic, a direct-to-consumer telehealth marketplace, is expanding to all 50 states and Washington D.C., the tech giant said on Tuesday. 

With this expansion, Amazon said synchronous telehealth video consultations will be available to patients in 50 states and Washington D.C., costing an average of $75 per visit. Message-based asynchronous
 
consultations will be offered in 34 states at an average cost of $35 per visit. Depending on the state in which a patient is located, the service will connect users to appointments via messaging or a video call.

The service does not accept insurance for visits, but users can choose to use FSA or HSA funds for payment. Costs of a particular consult will be shared with members beforehand, Amazon Clinic’s chief medical officer and general manager Dr. Nworah Ayogu said in the November blog post announcing the service.