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Initial Preventive Physical Examination

South Dakota 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?

$204

Typical physician fee. In South Dakota, October 2026.

Insurers have agreed to pay about $204 for this service. Most negotiated rates run $178 to $263.

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.

How much rates vary

Facilitymedian $234 · 10th to 90th $126 to $302Professionalmedian $204 · 10th to 90th $141 to $309
$100$200$500$1Kfacility $234professional $204

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
$125.89
Median
$165.96
Typical High
$302.00
Aetna
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$147.91
Typical High
$190.55
Cigna
Setting
Professional
Modifier
None
Typical Low
$141.25
Median
$204.17
Typical High
$263.03
Medica
Setting
Facility
Modifier
None
Typical Low
$104.71
Median
$234.42
Typical High
$302.00
Medica
Setting
Professional
Modifier
None
Typical Low
$144.54
Median
$295.12
Typical High
$1,047.13
Midlands
Setting
Professional
Modifier
None
Typical Low
$204.17
Median
$263.03
Typical High
$263.03
Midlands
Setting
Professional
Modifier
None
Typical Low
$144.54
Median
$186.21
Typical High
$371.54
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$154.88
Median
$208.93
Typical High
$302.00
United
Setting
Professional
Modifier
None
Typical Low
$109.65
Median
$213.80
Typical High
$323.59
Wellmark
Setting
Professional
Modifier
None
Typical Low
$190.55
Median
$199.53
Typical High
$302.00

Where South Dakota 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.

South Dakota· 11th of 51

$204

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.