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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 October 2026.

How much does Initial Preventive Physical Examination cost?

$135

Typical negotiated rate. In Florida, October 2026.

Insurers have agreed to pay about $135 for this service. The price depends on where it is billed: about $135 from a physician practice, and about $257 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$135$115 to $162
FacilityA hospital or hospital-owned outpatient department$257$234 to $257

How much rates vary

Facilitymedian $257 · 10th to 90th $126 to $6,166Professionalmedian $135 · 10th to 90th $98 to $186
$100$200$500$1K$2K$5K$10Kfacility $257professional $135

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
$85.11
Median
$125.89
Typical High
$162.18
Aetna
Setting
Professional
Modifier
None
Typical Low
$97.72
Median
$125.89
Typical High
$169.82
AvMed
Setting
Facility
Modifier
None
Typical Low
$114.82
Median
$144.54
Typical High
$186.21
AvMed
Setting
Professional
Modifier
None
Typical Low
$114.82
Median
$141.25
Typical High
$181.97
Cigna
Setting
Facility
Modifier
None
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
Cigna
Setting
Professional
Modifier
None
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
Florida Blue
Setting
Facility
Modifier
None
Typical Low
$251.19
Median
$257.04
Typical High
$6,918.31
Florida Blue
Setting
Professional
Modifier
None
Typical Low
$63.10
Median
$107.15
Typical High
$186.21
Molina
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$144.54
Typical High
$363.08
United
Setting
Facility
Modifier
None
Typical Low
$154.88
Median
$165.96
Typical High
$165.96
United
Setting
Professional
Modifier
None
Typical Low
$83.18
Median
$117.49
Typical High
$190.55
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$114.82
Median
$173.78
Typical High
$173.78

Where Florida 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.

Florida· 47th of 51

$135

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.