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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 October 2026.

How much does Initial Preventive Physical Examination cost?

$186

Typical negotiated rate. In Colorado, October 2026.

Insurers have agreed to pay about $186 for this service. The price depends on where it is billed: about $186 from a physician practice, and about $191 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$186$158 to $234
FacilityA hospital or hospital-owned outpatient department$191$162 to $251

How much rates vary

Facilitymedian $191 · 10th to 90th $145 to $331Professionalmedian $186 · 10th to 90th $138 to $288
$100$200$500facility $191professional $186

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
$144.54
Median
$144.54
Typical High
$186.21
Aetna
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$147.91
Typical High
$186.21
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$213.80
Typical High
$323.59
Cigna
Setting
Professional
Modifier
None
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
Denver HMP
Setting
Facility
Modifier
None
Typical Low
$134.90
Median
$190.55
Typical High
$302.00
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$138.04
Median
$208.93
Typical High
$302.00
Select Health
Setting
Facility
Modifier
None
Typical Low
$177.83
Median
$229.09
Typical High
$380.19
Select Health
Setting
Professional
Modifier
None
Typical Low
$109.65
Median
$151.36
Typical High
$190.55
United
Setting
Facility
Modifier
None
Typical Low
$575.44
Median
$616.60
Typical High
$691.83
United
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$177.83
Typical High
$257.04
1 more rate 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
Kaiser Permanente
Setting
Professional
Modifier
HO · Master's level
Typical Low
$87.10
Median
$123.03
Typical High
$169.82

Where Colorado 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.

Colorado· 16th of 51

$186

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.