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Initial Preventive Physical Examination

Missouri 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?

$132

Typical negotiated rate. In Missouri, October 2026.

Insurers have agreed to pay about $132 for this service. The price depends on where it is billed: about $132 from a physician practice, and about $186 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$132$85.11 to $170
FacilityA hospital or hospital-owned outpatient department$186$132 to $661

How much rates vary

Facilitymedian $186 · 10th to 90th $120 to $661Professionalmedian $132 · 10th to 90th $71 to $832
$100$200$500$1Kfacility $186professional $132

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
$120.23
Median
$147.91
Typical High
$186.21
Aetna
Setting
Professional
Modifier
None
Typical Low
$120.23
Median
$147.91
Typical High
$181.97
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$67.61
Median
$85.11
Typical High
$158.49
BCBS Kansas City
Setting
Professional
Modifier
None
Typical Low
$120.23
Median
$173.78
Typical High
$229.09
Cigna
Setting
Professional
Modifier
None
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
Medica
Setting
Facility
Modifier
None
Typical Low
$95.50
Median
$204.17
Typical High
$660.69
Medica
Setting
Professional
Modifier
None
Typical Low
$141.25
Median
$831.76
Typical High
$1,047.13
United
Setting
Facility
Modifier
None
Typical Low
$416.87
Median
$416.87
Typical High
$446.68
United
Setting
Professional
Modifier
None
Typical Low
$114.82
Median
$141.25
Typical High
$199.53

Where Missouri 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.

Missouri· 48th of 51

$132

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.