go back

Well-Teen Checkup

Hawaii rates for HCPCS 99394

This is a preventive checkup for an established adolescent patient, focused on tracking growth and development, screening for physical and mental health concerns, and updating vaccinations. It typically includes a physical exam and age-appropriate counseling on topics like nutrition, safety, and healthy habits. It's not used to treat a specific illness or new health complaint.

Rates data updated October 2026.

How much does Well-Teen Checkup cost?

$135

Typical physician fee. In Hawaii, October 2026.

Insurers have agreed to pay about $135 for this service. Most negotiated rates run $123 to $148.

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

Professionalmedian $135 · 10th to 90th $105 to $148
$100professional $135

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$67.61
Median
$93.33
Typical High
$154.88
Cigna
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$147.91
Typical High
$147.91
HMSA
Setting
Professional
Modifier
None
Typical Low
$114.82
Median
$134.90
Typical High
$147.91
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$676.08
Median
$676.08
Typical High
$676.08
United
Setting
Professional
Modifier
None
Typical Low
$102.33
Median
$147.91
Typical High
$147.91
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$104.71
Median
$123.03
Typical High
$123.03
3 more rates with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$33.88
Median
$44.67
Typical High
$60.26
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$10.23
Median
$13.49
Typical High
$17.78
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$6.92
Median
$8.91
Typical High
$12.02

Where Hawaii sits

The same service costs 2.7 times more in Alaska 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· 14th of 51

$135

AK $219DC $81.28

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.