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Office Visit, New Patient (Straightforward)

Hawaii rates for HCPCS 99202

A first-time appointment with a doctor or provider the patient has not seen before, used for simple, low-complexity concerns that don't require extensive evaluation. It typically involves gathering a basic health history along with addressing the reason for the visit. It's the most basic level among standard new-patient office visits.

Rates data updated July 2026.

How much does Office Visit, New Patient (Straightforward) cost?

$72.44

Typical negotiated rate. In Hawaii, July 2026.

Insurers have agreed to pay about $72.44 for this service. The price depends on where it is billed: about $72.44 from a physician practice, and about $209 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 6 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$72.44$56.23 to $102
FacilityA hospital or hospital-owned outpatient department$209$191 to $219

How much rates vary

Facilitymedian $209 · 10th to 90th $46 to $245Professionalmedian $72 · 10th to 90th $41 to $195
$20.0$50.0$100.0$200.0$500.0facility $209professional $72

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
$45.71
Median
$208.93
Typical High
$245.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$72.44
Typical High
$199.53
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$58.88
Median
$93.33
Typical High
$275.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Cigna
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$79.43
Typical High
$158.49
HMSA
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$32.36
Typical High
$44.67
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$81.28
Typical High
$112.20
United
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$141.25
United
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$72.44
Typical High
$109.65
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$70.79
Median
$79.43
Typical High
$144.54
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$87.10
Typical High
$173.78

Where Hawaii sits

The same service costs 1.6 times more in Minnesota than in Alabama. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Hawaii $72.44 · 17th of 51
MN $91.20AL $57.54

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.