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Office Visit, Established Patient (Straightforward)

Hawaii rates for HCPCS 99212

A brief follow-up appointment with a doctor or other provider the patient has seen before, used for simple, low-complexity issues that don't require much evaluation or decision-making. It's the most basic level of an established-patient office visit, often used for minor concerns or quick check-ins. Visit length and content are limited compared to visits addressing more involved problems.

Rates data updated July 2026.

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

$51.29

Typical negotiated rate. In Hawaii, July 2026.

Insurers have agreed to pay about $51.29 for this service. The price depends on where it is billed: about $51.29 from a physician practice, and about $182 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$51.29$38.02 to $70.79
FacilityA hospital or hospital-owned outpatient department$182$166 to $214

How much rates vary

Facilitymedian $182 · 10th to 90th $65 to $269Professionalmedian $51 · 10th to 90th $27 to $117
$20$50$100$200$500facility $182professional $51

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
$64.57
Median
$181.97
Typical High
$269.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$51.29
Typical High
$120.23
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$38.02
Median
$60.26
Typical High
$151.36
Cigna
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Cigna
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$50.12
Typical High
$123.03
HMSA
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$22.91
Typical High
$30.20
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$60.26
Typical High
$89.13
United
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$141.25
United
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$47.86
Typical High
$83.18
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$64.57
Median
$89.13
Typical High
$112.20
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$69.18
Typical High
$117.49

Where Hawaii sits

The same service costs 1.6 times more in Minnesota than in Washington, DC. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Hawaii· 17th of 51

$51.29

MN $63.10DC $38.90

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.