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Initial Preventive Physical Examination

Idaho 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.

Facilitymedian $166 · 10th–90th $112$2950%20%10th90th$166Professionalmedian $148 · 10th–90th $105$2750%10%20%10th90th$148$2.0$10.0$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$165.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$134.90
Typical High
$194.98
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$104.71
Median
$104.71
Typical High
$263.03
BCBS
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$218.78
Typical High
$436.52
BCBS
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$257.04
Typical High
$323.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$165.96
Typical High
$302.00
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$229.09
Typical High
$346.74
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$33.11
Typical High
$323.59
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$269.15
Typical High
$436.52
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$208.93
Typical High
$338.84
Select Health
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$48.98
Typical High
$169.82
Select Health
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$169.82
Typical High
$239.88
United
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$194.98
Typical High
$295.12