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Hawaii rates for HCPCS 99212

Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 10 minutes must be met or exceeded.

Facilitymedian $182 · 10th–90th $39–$2290%20%10th90th$182Professionalmedian $54 · 10th–90th $28–$1100%5%10%10th90th$54$10.0$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $181.97 / $457.09
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$138.04 / $138.04 / $186.21
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $51.29 / $107.15
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$33.88 / $57.54 / $120.23
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$147.91 / $147.91 / $147.91
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $51.29 / $141.25
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $72.44 / $87.10
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $58.88 / $83.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $47.86 / $85.11
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$64.57 / $89.13 / $112.20
University Health Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $69.18 / $117.49