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Initial Preventive Physical Examination

Nebraska 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?

$151

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $151 for this service. The price depends on where it is billed: about $151 from a physician practice, and about $186 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 6 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$151$126 to $186
FacilityA hospital or hospital-owned outpatient department$186$148 to $240

How much rates vary

Facilitymedian $186 · 10th to 90th $123 to $302Professionalmedian $151 · 10th to 90th $107 to $309
$100$200$500$1Kfacility $186professional $151

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
$123.03
Typical High
$154.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$144.54
Typical High
$295.12
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$338.84
Median
$338.84
Typical High
$338.84
BCBS
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$169.82
BCBS
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$123.03
Typical High
$154.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$204.17
Typical High
$331.13
Medica
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$186.21
Typical High
$302.00
Medica
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$275.42
Typical High
$1,047.13
Midlands
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$263.03
Typical High
$389.05
Midlands
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$288.40
Typical High
$389.05
United
Setting
Facility
Modifier
Global
Typical Low
$0.17
Median
$0.17
Typical High
$0.17
United
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$204.17
Typical High
$398.11

Where Nebraska 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.

Nebraska· 26th of 51

$151

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.