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Initial Preventive Physical Examination

Iowa 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?

$166

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $166 for this service. The price depends on where it is billed: about $166 from a physician practice, and about $195 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$166$129 to $251
FacilityA hospital or hospital-owned outpatient department$195$151 to $269

How much rates vary

Facilitymedian $195 · 10th to 90th $120 to $331Professionalmedian $166 · 10th to 90th $112 to $380
$100$200$500$1Kfacility $195professional $166

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
$269.15
Median
$302.00
Typical High
$380.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$154.88
Typical High
$389.05
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$263.03
Median
$263.03
Typical High
$426.58
Cigna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$186.21
Typical High
$323.59
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$199.53
Typical High
$398.11
Medica
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$165.96
Typical High
$288.40
Medica
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$218.78
Typical High
$1,047.13
Medica
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$245.47
Median
$245.47
Typical High
$245.47
Midlands
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$245.47
Typical High
$389.05
Midlands
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$323.59
Typical High
$398.11
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$208.93
Typical High
$363.08
United
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$190.55
Typical High
$218.78
United
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$181.97
Typical High
$338.84
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$199.53
Typical High
$295.12

Where Iowa 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.

Iowa· 10th of 51

$166

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.