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Initial Preventive Physical Examination

Maine 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?

$166

Typical physician fee. In Maine, July 2026.

Insurers have agreed to pay about $166 for this service. Most negotiated rates run $129 to $251.

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.

How much rates vary

Facilitymedian $117 · 10th to 90th $117 to $155Professionalmedian $166 · 10th to 90th $105 to $372
$100$200$500facility $117professional $166

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. 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
Global
Typical Low
$117.49
Median
$117.49
Typical High
$154.88
Aetna
Setting
Facility
Modifier
25 · Same-day visit
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$131.83
Typical High
$177.83
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$173.78
Typical High
$295.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$239.88
Typical High
$457.09
Martin's Point
Setting
Facility
Modifier
25 · Same-day visit
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$147.91
Typical High
$245.47
United
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$213.80
Typical High
$371.54

Where Maine 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.

Maine· 9th of 51

$166

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.