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Initial Preventive Physical Examination

Colorado 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.

How much does Initial Preventive Physical Examination cost?

$151

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $151 for this service. The price depends on where it is billed: about $148 from a physician practice, and about $178 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$148$126 to $182
FacilityA hospital or hospital-owned outpatient department$178$141 to $224

How much rates vary

Facilitymedian $178 · 10th to 90th $117 to $282Professionalmedian $148 · 10th to 90th $105 to $219
$100$200$500facility $178professional $148

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
Facility
Modifier
Global
Typical Low
$112.20
Median
$114.82
Typical High
$177.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$144.54
Typical High
$190.55
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$104.71
Median
$169.82
Typical High
$457.09
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$190.55
Typical High
$288.40
Cigna
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$177.83
Typical High
$281.84
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$245.47
Typical High
$501.19
Select Health
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$151.36
Typical High
$204.17
United
Setting
Facility
Modifier
Global
Typical Low
$0.17
Median
$177.83
Typical High
$281.84
United
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$181.97
Typical High
$295.12

Where Colorado sits

The same service costs 1.9 times more in Minnesota 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.

Colorado· 25th of 51

$151

MN $257KY $132

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.