go back

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 October 2026.

How much does Initial Preventive Physical Examination cost?

$135

Typical negotiated rate. In New Mexico, October 2026.

Insurers have agreed to pay about $135 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.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$135$115 to $170
FacilityA hospital or hospital-owned outpatient department$170$126 to $209

How much rates vary

Facilitymedian $170 · 10th to 90th $115 to $316Professionalmedian $135 · 10th to 90th $93 to $219
$50$100$200$500facility $170professional $135

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$158.49
Typical High
$316.23
Aetna
Setting
Professional
Modifier
None
Typical Low
$107.15
Median
$158.49
Typical High
$194.98
BCBS New Mexico
Setting
Professional
Modifier
None
Typical Low
$93.33
Median
$117.49
Typical High
$154.88
Cigna
Setting
Professional
Modifier
None
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
Molina
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
Providence
Setting
Facility
Modifier
None
Typical Low
$114.82
Median
$158.49
Typical High
$194.98
Providence
Setting
Professional
Modifier
None
Typical Low
$162.18
Median
$162.18
Typical High
$380.19
United
Setting
Facility
Modifier
None
Typical Low
$263.03
Median
$263.03
Typical High
$575.44
United
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$190.55
Typical High
$257.04

Where New Mexico 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.

New Mexico· 45th of 51

$135

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.