go back

Annual Checkup, New Patient (Ages 18-39)

Hawaii rates for HCPCS 99385

A comprehensive first-time wellness visit for an adult patient between about 18 and 39 who is new to this provider, focused on preventive care rather than an existing illness. It typically includes a full health history, an age-appropriate physical exam, and counseling on preventive topics such as screenings, immunizations, and healthy lifestyle habits. It's meant to establish a baseline and catch potential health issues early.

Rates data updated July 2026.

How much does Annual Checkup, New Patient (Ages 18-39) cost?

$129

Typical physician fee. In Hawaii, July 2026.

Insurers have agreed to pay about $129 for this service. Most negotiated rates run $97.72 to $195.

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 $234 · 10th to 90th $60 to $240Professionalmedian $129 · 10th to 90th $79 to $457
$100$200$500facility $234professional $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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$234.42
Typical High
$239.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$128.82
Typical High
$467.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$138.04
Typical High
$281.84
HMSA
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$165.96
Typical High
$190.55
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$676.08
Typical High
$676.08
United
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$125.89
Typical High
$186.21
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$190.55
Typical High
$363.08

Where Hawaii sits

The same service costs 2.1 times more in Minnesota than in Delaware. 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· 25th of 51

$129

MN $214DE $102

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.