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Comprehensive Specialist Consultation Visit

Hawaii rates for HCPCS 99245

This is an in-depth office visit where a specialist evaluates a patient at the request of another provider, involving a thorough review of the patient's history, a detailed examination, and complex medical decision-making. It represents the most involved level of this type of consultation, typically used for patients with complicated or multiple medical problems. A written report is usually sent back to the referring provider afterward.

Rates data updated July 2026.

How much does Comprehensive Specialist Consultation Visit cost?

$195

Typical physician fee. In Hawaii, July 2026.

Insurers have agreed to pay about $195 for this service. Most negotiated rates run $170 to $234.

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 $195 · 10th to 90th $145 to $316
$100$200$500facility $141professional $195

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
$144.54
Median
$194.98
Typical High
$288.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$245.47
Typical High
$380.19
HMSA
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$275.42
Typical High
$316.23
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
$158.49
Median
$218.78
Typical High
$323.59
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$234.42
Typical High
$309.03

Where Hawaii sits

The same service costs 1.5 times more in Minnesota than in West Virginia. 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· 31st of 51

$195

MN $275WV $178

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.