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Initial Preventive Physical Examination

Rhode Island 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?

$155

Typical physician fee. In Rhode Island, October 2026.

Insurers have agreed to pay about $155 for this service. Most negotiated rates run $141 to $182.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $257 · 10th to 90th $195 to $302Professionalmedian $155 · 10th to 90th $117 to $186
$100$200facility $257professional $155

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
Professional
Modifier
None
Typical Low
$154.88
Median
$154.88
Typical High
$186.21
BCBS Rhode Island
Setting
Facility
Modifier
None
Typical Low
$186.21
Median
$257.04
Typical High
$302.00
BCBS Rhode Island
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$141.25
Typical High
$181.97
Cigna
Setting
Professional
Modifier
None
Typical Low
$162.18
Median
$162.18
Typical High
$177.83
United
Setting
Facility
Modifier
None
Typical Low
$295.12
Median
$295.12
Typical High
$295.12
United
Setting
Professional
Modifier
None
Typical Low
$107.15
Median
$141.25
Typical High
$223.87

Where Rhode Island 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.

Rhode Island· 34th of 51

$155

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.