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Initial Preventive Physical Examination

Michigan 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?

$162

Typical negotiated rate. In Michigan, October 2026.

Insurers have agreed to pay about $162 for this service. The price depends on where it is billed: about $162 from a physician practice, and about $162 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$162$132 to $178
FacilityA hospital or hospital-owned outpatient department$162$129 to $178

How much rates vary

Facilitymedian $162 · 10th to 90th $123 to $417Professionalmedian $162 · 10th to 90th $129 to $186
$100$200$500facility $162professional $162

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
$125.89
Median
$134.90
Typical High
$162.18
Aetna
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$138.04
Typical High
$162.18
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$177.83
Median
$177.83
Typical High
$177.83
BCBS Michigan
Setting
Professional
Modifier
None
Typical Low
$165.96
Median
$177.83
Typical High
$177.83
Cigna
Setting
Professional
Modifier
None
Typical Low
$162.18
Median
$162.18
Typical High
$204.17
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$123.03
Median
$162.18
Typical High
$446.68
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$131.83
Median
$162.18
Typical High
$204.17
Priority Health
Setting
Professional
Modifier
None
Typical Low
$162.18
Median
$162.18
Typical High
$190.55
United
Setting
Facility
Modifier
None
Typical Low
$138.04
Median
$177.83
Typical High
$371.54
United
Setting
Professional
Modifier
None
Typical Low
$109.65
Median
$141.25
Typical High
$186.21

Where Michigan 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.

Michigan· 25th of 51

$162

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.