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Initial Preventive Physical Examination

Georgia 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?

$158

Typical physician fee. In Georgia, October 2026.

Insurers have agreed to pay about $158 for this service. Most negotiated rates run $132 to $204.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $123 · 10th to 90th $120 to $148Professionalmedian $158 · 10th to 90th $123 to $295
$100$200$500facility $123professional $158

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$120.23
Median
$123.03
Typical High
$147.91
Aetna
Setting
Professional
Modifier
None
Typical Low
$120.23
Median
$147.91
Typical High
$338.84
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$123.03
Median
$158.49
Typical High
$257.04
Cigna
Setting
Professional
Modifier
None
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$112.20
Median
$165.96
Typical High
$562.34
Oscar Health
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$208.93
Typical High
$363.08
United
Setting
Professional
Modifier
None
Typical Low
$109.65
Median
$169.82
Typical High
$331.13

Where Georgia 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.

Georgia· 28th of 51

$158

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.