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Initial Preventive Physical Examination

California 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 October 2026.

How much does Initial Preventive Physical Examination cost?

$145

Typical negotiated rate. In California, October 2026.

Insurers have agreed to pay about $145 for this service. The price depends on where it is billed: about $145 from a physician practice, and about $182 from a hospital or other facility.

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 11 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$145$110 to $178
FacilityA hospital or hospital-owned outpatient department$182$145 to $229

How much rates vary

Facilitymedian $182 · 10th to 90th $132 to $324Professionalmedian $145 · 10th to 90th $98 to $407
$100$200$500$1Kfacility $182professional $145

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
Facility
Modifier
None
Typical Low
$104.71
Median
$128.82
Typical High
$154.88
Aetna
Setting
Professional
Modifier
None
Typical Low
$104.71
Median
$131.83
Typical High
$213.80
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$154.88
Median
$194.98
Typical High
$794.33
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$158.49
Typical High
$213.80
Blue Shield
Setting
Facility
Modifier
None
Typical Low
$97.72
Median
$218.78
Typical High
$398.11
Blue Shield
Setting
Professional
Modifier
None
Typical Low
$66.07
Median
$93.33
Typical High
$112.20
Cigna
Setting
Professional
Modifier
None
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
Contra Costa Health
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$204.17
Typical High
$234.42
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$114.82
Median
$173.78
Typical High
$269.15
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$1,479.11
Molina
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
Providence
Setting
Facility
Modifier
None
Typical Low
$131.83
Median
$173.78
Typical High
$251.19
Providence
Setting
Professional
Modifier
None
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
Sutter Health Plus
Setting
Professional
Modifier
None
Typical Low
$407.38
Median
$407.38
Typical High
$537.03
United
Setting
Facility
Modifier
None
Typical Low
$218.78
Median
$218.78
Typical High
$338.84
United
Setting
Professional
Modifier
None
Typical Low
$97.72
Median
$125.89
Typical High
$245.47

Where California sits

The same service costs 2.8 times more in Alaska than in Kentucky. 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.

California· 39th of 51

$145

AK $339KY $123

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.