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Initial Preventive Physical Examination

Louisiana 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?

$135

Typical negotiated rate. In Louisiana, July 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 $112 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 6 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$135$110 to $162
FacilityA hospital or hospital-owned outpatient department$112$89.13 to $112

How much rates vary

Facilitymedian $112 · 10th to 90th $89 to $115Professionalmedian $135 · 10th to 90th $95 to $219
$100$200$500$1Kfacility $112professional $135

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
$89.13
Median
$89.13
Typical High
$112.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$131.83
Typical High
$257.04
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$263.03
Median
$263.03
Typical High
$263.03
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$131.83
Median
$131.83
Typical High
$131.83
BCBS
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$107.15
Typical High
$144.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$131.83
Typical High
$147.91
Christus
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$114.82
Typical High
$114.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$194.98
United
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$138.04
United
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$141.25
Typical High
$213.80

Where Louisiana 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.

Louisiana· 48th of 51

$135

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.