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Annual Checkup, New Patient (Ages 40-64)

Hawaii rates for HCPCS 99386

A comprehensive first-time wellness visit for an adult patient between about 40 and 64 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 that become more relevant with age, such as certain screenings and lifestyle guidance. 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 40-64) cost?

$145

Typical physician fee. In Hawaii, July 2026.

Insurers have agreed to pay about $145 for this service. Most negotiated rates run $115 to $219.

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 $49 · 10th to 90th $49 to $49Professionalmedian $145 · 10th to 90th $98 to $501
$50$100$200$500facility $49professional $145

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
$48.98
Median
$48.98
Typical High
$48.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$138.04
Typical High
$524.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$158.49
Typical High
$323.59
HMSA
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$186.21
Typical High
$213.80
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$676.08
Typical High
$676.08
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$144.54
Typical High
$213.80
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· 37th of 51

$145

MN $257DE $120

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.