go back

Office Visit, Established Patient (Moderate Complexity)

Hawaii rates for HCPCS 99214

A follow-up appointment with a doctor or other provider the patient has seen before, involving a moderate level of medical decision-making, such as managing several ongoing conditions or a condition that has changed and needs a closer look. It typically takes more time and involves more discussion and evaluation than a routine, simple check-in. The exact length varies, but it reflects a meaningful step up in complexity from the most basic follow-up visit.

Rates data updated July 2026.

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

$129

Typical negotiated rate. In Hawaii, July 2026.

Insurers have agreed to pay about $129 for this service. The price depends on where it is billed: about $129 from a physician practice, and about $229 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$129$95.50 to $178
FacilityA hospital or hospital-owned outpatient department$229$182 to $245

How much rates vary

Facilitymedian $229 · 10th to 90th $89 to $257Professionalmedian $129 · 10th to 90th $69 to $339
$20$50$100$200$500facility $229professional $129

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
$89.13
Median
$229.09
Typical High
$257.04
Aetna
Setting
Facility
Modifier
25 · Same-day visit
Typical Low
$316.23
Median
$316.23
Typical High
$316.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$128.82
Typical High
$338.84
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$58.88
Median
$131.83
Typical High
$371.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Cigna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$125.89
Typical High
$275.42
HMSA
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$25.70
Typical High
$30.20
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$141.25
Typical High
$199.53
United
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$141.25
United
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$107.15
Typical High
$173.78
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$70.79
Median
$154.88
Typical High
$204.17
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$173.78
Typical High
$263.03

Where Hawaii sits

The same service costs 1.7 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· 10th of 51

$129

MN $148DC $89.13

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.