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Initial Preventive Physical Examination

Massachusetts 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 $151 · 10th–90th $115$2450%20%10th90th$151Professionalmedian $166 · 10th–90th $110$3980%10%10th90th$166$100.0$200.0$500.0$1.0K

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
$114.82
Median
$114.82
Typical High
$154.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$147.91
Typical High
$295.12
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$194.98
Median
$263.03
Typical High
$263.03
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$831.76
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$190.55
Typical High
$478.63
BCBS
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$338.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$144.54
Typical High
$218.78
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$234.42
Typical High
$338.84
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$245.47
Typical High
$426.58
Health New England
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$141.25
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$831.76
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$190.55
Typical High
$478.63
Tufts
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$288.40
Typical High
$354.81
United
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$186.21
Typical High
$194.98
United
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$223.87
Typical High
$467.74