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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 July 2026.

How much does Initial Preventive Physical Examination cost?

$178

Typical negotiated rate. In North Dakota, July 2026.

Insurers have agreed to pay about $178 for this service. The price depends on where it is billed: about $178 from a physician practice, and about $166 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 5 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$178$129 to $309
FacilityA hospital or hospital-owned outpatient department$166$129 to $178

How much rates vary

Facilitymedian $166 · 10th to 90th $126 to $269Professionalmedian $178 · 10th to 90th $105 to $380
$100$200$500facility $166professional $178

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
$125.89
Median
$128.82
Typical High
$165.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$138.04
Typical High
$288.40
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$104.71
Median
$104.71
Typical High
$165.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$316.23
Typical High
$416.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$181.97
Typical High
$229.09
Medica
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$177.83
Typical High
$302.00
Medica
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$302.00
Typical High
$1,047.13
United
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$269.15
United
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$213.80
Typical High
$363.08

Where North Dakota 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.

North Dakota· 3rd of 51

$178

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.