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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 October 2026.

How much does Initial Preventive Physical Examination cost?

$148

Typical negotiated rate. In Utah, October 2026.

Insurers have agreed to pay about $148 for this service. The price depends on where it is billed: about $148 from a physician practice, and about $204 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$148$135 to $166
FacilityA hospital or hospital-owned outpatient department$204$182 to $269

How much rates vary

Facilitymedian $204 · 10th to 90th $155 to $339Professionalmedian $148 · 10th to 90th $123 to $191
$100$200$500facility $204professional $148

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$154.88
Median
$154.88
Typical High
$181.97
Aetna
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$154.88
Typical High
$181.97
Cigna
Setting
Professional
Modifier
None
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
Molina
Setting
Professional
Modifier
None
Typical Low
$123.03
Median
$141.25
Typical High
$169.82
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$213.80
Median
$263.03
Typical High
$389.05
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$162.18
Typical High
$190.55
Select Health
Setting
Facility
Modifier
None
Typical Low
$275.42
Median
$275.42
Typical High
$275.42
Select Health
Setting
Professional
Modifier
None
Typical Low
$138.04
Median
$165.96
Typical High
$190.55
U of Utah Health Plan
Setting
Professional
Modifier
None
Typical Low
$134.90
Median
$208.93
Typical High
$346.74
United
Setting
Professional
Modifier
None
Typical Low
$109.65
Median
$147.91
Typical High
$234.42

Where Utah 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.

Utah· 35th of 51

$148

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.