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Initial Preventive Physical Examination

Kentucky 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?

$123

Typical physician fee. In Kentucky, October 2026.

Insurers have agreed to pay about $123 for this service. Most negotiated rates run $100 to $138.

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.

How much rates vary

Facilitymedian $151 · 10th to 90th $85 to $162Professionalmedian $123 · 10th to 90th $85 to $162
$50$100$200$500facility $151professional $123

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
$154.88
Aetna
Setting
Professional
Modifier
None
Typical Low
$120.23
Median
$138.04
Typical High
$165.96
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$100.00
Typical High
$134.90
Cigna
Setting
Facility
Modifier
None
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
Cigna
Setting
Professional
Modifier
None
Typical Low
$112.20
Median
$162.18
Typical High
$851.14
Molina
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
United
Setting
Professional
Modifier
None
Typical Low
$102.33
Median
$125.89
Typical High
$177.83

Where Kentucky 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.

Kentucky· 51st of 51

$123

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.