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Initial Preventive Physical Examination

New Mexico 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?

$138

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $138 for this service. The price depends on where it is billed: about $135 from a physician practice, and about $170 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$135$117 to $170
FacilityA hospital or hospital-owned outpatient department$170$132 to $219

How much rates vary

Facilitymedian $170 · 10th to 90th $115 to $288Professionalmedian $135 · 10th to 90th $98 to $219
$50$100$200$500facility $170professional $135

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
$194.98
Typical High
$316.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$138.04
Typical High
$229.09
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$104.71
Median
$263.03
Typical High
$263.03
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$131.83
Median
$131.83
Typical High
$154.88
BCBS
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$123.03
Typical High
$190.55
Cigna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
Providence
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$165.96
Typical High
$275.42
Providence
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$416.87
United
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$125.89
Typical High
$575.44
United
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$177.83
Typical High
$302.00

Where New Mexico 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.

New Mexico· 42nd of 51

$138

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.