go back

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 July 2026.

How much does Initial Preventive Physical Examination cost?

$148

Typical negotiated rate. In Missouri, 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 $162 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$123 to $178
FacilityA hospital or hospital-owned outpatient department$162$141 to $229

How much rates vary

Facilitymedian $162 · 10th to 90th $120 to $324Professionalmedian $148 · 10th to 90th $100 to $245
$100$200$500facility $162professional $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
$147.91
Median
$147.91
Typical High
$147.91
Aetna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$147.91
Typical High
$245.47
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$169.82
Median
$251.19
Typical High
$407.38
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$131.83
Median
$131.83
Typical High
$131.83
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$128.82
Typical High
$190.55
BCBS
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$177.83
Typical High
$251.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
Medica
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$165.96
Typical High
$331.13
Medica
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$186.21
Typical High
$1,047.13
United
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$851.14
United
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$151.36
Typical High
$251.19

Where Missouri 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.

Missouri· 28th 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.