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Initial Preventive Physical Examination

Tennessee 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?

$162

Typical physician fee. In Tennessee, October 2026.

Insurers have agreed to pay about $162 for this service. Most negotiated rates run $132 to $195.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $132 · 10th to 90th $132 to $162Professionalmedian $162 · 10th to 90th $117 to $1,047
$100$200$500$1Kfacility $132professional $162

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
$131.83
Median
$131.83
Typical High
$162.18
Aetna
Setting
Professional
Modifier
None
Typical Low
$107.15
Median
$141.25
Typical High
$177.83
BCBS Tennessee
Setting
Professional
Modifier
None
Typical Low
$123.03
Median
$158.49
Typical High
$234.42
Cigna
Setting
Professional
Modifier
None
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$1,047.13
Median
$1,479.11
Typical High
$1,479.11
United
Setting
Professional
Modifier
None
Typical Low
$104.71
Median
$141.25
Typical High
$223.87

Where Tennessee 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.

Tennessee· 24th of 51

$162

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.