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Initial Preventive Physical Examination

Nationwide rates for HCPCS G0402

Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of Medicare enrollment

Rates data updated July 2026.

Facilitymedian $170 · 10th–90th $112$3160%20%10th90th$170Professionalmedian $155 · 10th–90th $105$2950%20%40%10th90th$155$0.1$1.0$10.0$100.0$1.0K$10.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$147.91
Typical High
$239.88
Aetna
Setting
Facility
Modifier
25 · Same-day visit
Typical Low
$114.82
Median
$134.90
Typical High
$602.56
Aetna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$144.54
Typical High
$234.42
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$104.71
Median
$169.82
Typical High
$354.81
BCBS
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$190.55
Typical High
$213.80
BCBS
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$151.36
Typical High
$263.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$588.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$194.98
United
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$173.78
Typical High
$380.19
United
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$173.78
Typical High
$346.74