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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 July 2026.

How much does Initial Preventive Physical Examination cost?

$148

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $148 for this service. The price depends on where it is billed: about $148 from a physician practice, and about $138 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 7 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$148$126 to $178
FacilityA hospital or hospital-owned outpatient department$138$132 to $174

How much rates vary

Facilitymedian $138 · 10th to 90th $123 to $214Professionalmedian $148 · 10th to 90th $105 to $214
$100$200facility $138professional $148

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
$123.03
Median
$138.04
Typical High
$213.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$141.25
Typical High
$199.53
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$104.71
Median
$104.71
Typical High
$407.38
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
$177.83
Median
$177.83
Typical High
$177.83
BCBS
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$177.83
Typical High
$186.21
Cigna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$213.80
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$162.18
Typical High
$269.15
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$158.49
Typical High
$257.04
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$173.78
Typical High
$199.53
United
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$134.90
Typical High
$371.54
United
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$158.49
Typical High
$263.03

Where Michigan 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.

Michigan· 32nd of 51

$148

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.