go back

Specialist Office Consultation

Hawaii rates for HCPCS 99243

This service covers an office visit where a specialist reviews a patient's specific health problem at the request of another treating clinician and provides an opinion or recommendation. It involves a detailed review of the person's history and a focused examination, along with medical decision-making of low complexity. A written report is typically sent back to the requesting clinician.

Rates data updated July 2026.

How much does Specialist Office Consultation cost?

$110

Typical physician fee. In Hawaii, July 2026.

Insurers have agreed to pay about $110 for this service. Most negotiated rates run $91.20 to $138.

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.

How much rates vary

Facilitymedian $141 · 10th to 90th $141 to $141Professionalmedian $110 · 10th to 90th $72 to $200
$10.0$20.0$50.0$100.0$200.0$500.0facility $141professional $110

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$107.15
Typical High
$208.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$128.82
Typical High
$199.53
HMSA
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$154.88
Typical High
$177.83
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$177.83
Typical High
$676.08
United
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$141.25
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$117.49
Typical High
$177.83
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$138.04
Typical High
$165.96

Where Hawaii sits

Rates are fairly even across states for this service. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Hawaii $110 · 21st of 51
MN $145WV $97.72

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.