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Initial Preventive Physical Examination

North Dakota 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?

$229

Typical physician fee. In North Dakota, October 2026.

Insurers have agreed to pay about $229 for this service. Most negotiated rates run $170 to $331.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $166 · 10th to 90th $126 to $234Professionalmedian $229 · 10th to 90th $135 to $407
$100$200$500$1Kfacility $166professional $229

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
$147.91
Typical High
$165.96
Aetna
Setting
Professional
Modifier
None
Typical Low
$120.23
Median
$147.91
Typical High
$199.53
BCBS North Dakota
Setting
Professional
Modifier
None
Typical Low
$229.09
Median
$309.03
Typical High
$407.38
BCBS North Dakota
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$45.71
Median
$61.66
Typical High
$81.28
BCBS North Dakota
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$22.91
Median
$30.90
Typical High
$40.74
Cigna
Setting
Professional
Modifier
None
Typical Low
$141.25
Median
$181.97
Typical High
$229.09
Medica
Setting
Facility
Modifier
None
Typical Low
$125.89
Median
$165.96
Typical High
$380.19
Medica
Setting
Professional
Modifier
None
Typical Low
$154.88
Median
$309.03
Typical High
$1,047.13
United
Setting
Professional
Modifier
None
Typical Low
$120.23
Median
$204.17
Typical High
$331.13

Where North Dakota 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.

North Dakota· 3rd of 51

$229

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.