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Extended Advance Care Planning Discussion

Hawaii rates for HCPCS 99498

This is an extended conversation between a patient and their healthcare provider about future medical care wishes, including decisions about treatments a person would or would not want if seriously ill. It covers additional time spent beyond an initial advance care planning discussion, often completing or updating documents like a living will or healthcare proxy.

Rates data updated July 2026.

How much does Extended Advance Care Planning Discussion cost?

$67.61

Typical physician fee. In Hawaii, July 2026.

Insurers have agreed to pay about $67.61 for this service. Most negotiated rates run $60.26 to $72.44.

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 $68 · 10th to 90th $55 to $93
$50.0$100.0$200.0$500.0professional $68

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
$54.95
Median
$64.57
Typical High
$89.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$93.33
Typical High
$281.84
HMSA
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$79.43
Typical High
$89.13
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$89.13
Typical High
$120.23
United
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$81.28
Typical High
$117.49
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$87.10
Typical High
$134.90

Where Hawaii sits

The same service costs 2.3 times more in Minnesota than in Kentucky. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Hawaii $67.61 · 28th of 51
MN $138KY $60.26

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.