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Initial Preventive Physical Examination

Oregon 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?

$195

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $195 for this service. The price depends on where it is billed: about $191 from a physician practice, and about $219 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 8 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$191$138 to $295
FacilityA hospital or hospital-owned outpatient department$219$166 to $316

How much rates vary

Facilitymedian $219 · 10th to 90th $123 to $324Professionalmedian $191 · 10th to 90th $110 to $389
$1.0$10.0$100.0$1.0Kfacility $219professional $191

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
$302.00
Median
$302.00
Typical High
$389.05
Aetna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$147.91
Typical High
$288.40
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$104.71
Median
$263.03
Typical High
$446.68
Cigna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$288.40
Typical High
$416.87
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$181.97
Typical High
$309.03
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$281.84
Typical High
$407.38
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$316.23
Typical High
$323.59
Providence
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$177.83
Typical High
$316.23
Providence
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$309.03
Typical High
$416.87
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$416.87
Typical High
$524.81
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$309.03
Typical High
$446.68
United
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$251.19
Typical High
$389.05

Where Oregon sits

The same service costs 1.9 times more in Minnesota than in Kentucky. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Oregon $195 · 2nd of 51
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.