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Hospital Consultation, Lower Complexity

Hawaii rates for HCPCS 99252

A specialist's opinion on a hospital patient, requested by the doctor already caring for them. The consultant takes a history, examines the patient, reviews the records, and writes back with advice. This is one of the shorter consultations of its kind, for a problem that is fairly limited in complexity.

Rates data updated July 2026.

How much does Hospital Consultation, Lower Complexity cost?

$105

Typical physician fee. In Hawaii, July 2026.

Insurers have agreed to pay about $105 for this service. Most negotiated rates run $67.61 to $132.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $105 · 10th to 90th $58 to $155
$10$20$50$100professional $105

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
Professional
Modifier
Global
Typical Low
$57.54
Median
$104.71
Typical High
$147.91
Cigna
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$97.72
Typical High
$151.36
HMSA
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$89.13
Typical High
$109.65
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$87.10
Typical High
$117.49
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$154.88
Typical High
$204.17

Where Hawaii sits

The same service costs 2.3 times more in South Dakota 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· 28th of 51

$105

SD $158DC $67.61

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.