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Initial Preventive Physical Examination

Washington, DC 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?

$138

Typical physician fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $138 for this service. Most negotiated rates run $115 to $174.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $98 · 10th to 90th $98 to $129Professionalmedian $138 · 10th to 90th $100 to $195
$100$200facility $98professional $138

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$138.04
Typical High
$186.21
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$186.21
Median
$190.55
Typical High
$190.55
Cigna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$194.98
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$194.98
Typical High
$275.42
United
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$128.82
United
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$173.78
Typical High
$331.13

Where Washington, DC 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.

Washington, DC· 45th of 51

$138

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.