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Initial Preventive Physical Examination

Indiana 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 Indiana, 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 $407 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$135$126 to $158
FacilityA hospital or hospital-owned outpatient department$407$158 to $912

How much rates vary

Facilitymedian $407 · 10th to 90th $129 to $2,089Professionalmedian $135 · 10th to 90th $110 to $166
$100$200$500$1K$2Kfacility $407professional $135

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
$125.89
Median
$131.83
Typical High
$165.96
Aetna
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$147.91
Typical High
$165.96
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$128.82
Median
$407.38
Typical High
$549.54
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$102.33
Median
$128.82
Typical High
$158.49
Cigna
Setting
Professional
Modifier
None
Typical Low
$162.18
Median
$162.18
Typical High
$251.19
Physicians Health Plan of Northern Indiana
Setting
Facility
Modifier
None
Typical Low
$331.13
Median
$912.01
Typical High
$2,187.76
Physicians Health Plan of Northern Indiana
Setting
Professional
Modifier
None
Typical Low
$109.65
Median
$138.04
Typical High
$190.55
United
Setting
Professional
Modifier
None
Typical Low
$104.71
Median
$141.25
Typical High
$194.98

Where Indiana 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.

Indiana· 46th 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.