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Initial Preventive Physical Examination

Utah 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?

$155

Typical physician fee. In Utah, July 2026.

Insurers have agreed to pay about $155 for this service. Most negotiated rates run $126 to $191.

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 $155 · 10th to 90th $155 to $182Professionalmedian $155 · 10th to 90th $105 to $257
$100$200$500facility $155professional $155

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. 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
Global
Typical Low
$154.88
Median
$154.88
Typical High
$181.97
Aetna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$151.36
Typical High
$257.04
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$104.71
Median
$169.82
Typical High
$263.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$173.78
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$186.21
Typical High
$251.19
Select Health
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Select Health
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$169.82
Typical High
$275.42
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$204.17
Typical High
$302.00
United
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$162.18
Typical High
$263.03

Where Utah sits

The same service costs 1.9 times more in Minnesota 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.

Utah· 24th of 51

$155

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.