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Initial Preventive Physical Examination

Ohio 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?

$138

Typical physician fee. In Ohio, October 2026.

Insurers have agreed to pay about $138 for this service. Most negotiated rates run $112 to $162.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $417 · 10th to 90th $158 to $537Professionalmedian $138 · 10th to 90th $91 to $204
$100$200$500facility $417professional $138

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
$158.49
Median
$416.87
Typical High
$537.03
Aetna
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$158.49
Typical High
$204.17
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$77.62
Median
$91.20
Typical High
$186.21
Aultcare
Setting
Professional
Modifier
None
Typical Low
$147.91
Median
$177.83
Typical High
$208.93
Cigna
Setting
Professional
Modifier
None
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
Medical Mutual of Ohio
Setting
Professional
Modifier
None
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
Molina
Setting
Professional
Modifier
None
Typical Low
$112.20
Median
$147.91
Typical High
$229.09
SummaCare
Setting
Professional
Modifier
None
Typical Low
$95.50
Median
$131.83
Typical High
$165.96
United
Setting
Facility
Modifier
None
Typical Low
$275.42
Median
$316.23
Typical High
$457.09
United
Setting
Professional
Modifier
None
Typical Low
$95.50
Median
$125.89
Typical High
$208.93

Where Ohio 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.

Ohio· 42nd of 51

$138

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.