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Initial Preventive Physical Examination

Florida 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 negotiated rate. In Florida, July 2026.

Insurers have agreed to pay about $138 for this service. The price depends on where it is billed: about $138 from a physician practice, and about $129 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 8 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$138$112 to $170
FacilityA hospital or hospital-owned outpatient department$129$110 to $170

How much rates vary

Facilitymedian $129 · 10th to 90th $85 to $240Professionalmedian $138 · 10th to 90th $91 to $229
$100$1K$10K$100Kfacility $129professional $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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$112.20
Typical High
$239.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$134.90
Typical High
$229.09
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$104.71
Median
$169.82
Typical High
$275.42
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$213.80
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$131.83
Median
$131.83
Typical High
$154.88
AvMed
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$120.23
Typical High
$131.83
AvMed
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$141.25
Typical High
$181.97
Cigna
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$489.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$257.04
Typical High
$177,827.94
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$125.89
Typical High
$199.53
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$36.31
United
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$144.54
Typical High
$239.88
United
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$144.54
Typical High
$269.15
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$138.04
Typical High
$177.83

Where Florida 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.

Florida· 44th 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.