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Initial Preventive Physical Examination

Virginia 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?

$158

Typical negotiated rate. In Virginia, October 2026.

Insurers have agreed to pay about $158 for this service. The price depends on where it is billed: about $158 from a physician practice, and about $174 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$158$138 to $182
FacilityA hospital or hospital-owned outpatient department$174$135 to $229

How much rates vary

Facilitymedian $174 · 10th to 90th $112 to $339Professionalmedian $158 · 10th to 90th $117 to $200
$100$200$500$1K$2K$5K$10Kfacility $174professional $158

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
$141.25
Median
$194.98
Typical High
$234.42
Aetna
Setting
Professional
Modifier
None
Typical Low
$138.04
Median
$177.83
Typical High
$208.93
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$123.03
Median
$158.49
Typical High
$199.53
Cigna
Setting
Professional
Modifier
None
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$154.88
Median
$194.98
Typical High
$251.19
Medcost
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$165.96
Typical High
$165.96
Medcost
Setting
Facility
Modifier
None
Typical Low
$112.20
Median
$151.36
Typical High
$269.15
Medcost
Setting
Professional
Modifier
None
Typical Low
$87.10
Median
$112.20
Typical High
$144.54
Sentara
Setting
Facility
Modifier
None
Typical Low
$89.13
Median
$151.36
Typical High
$4,570.88
Sentara
Setting
Professional
Modifier
None
Typical Low
$89.13
Median
$162.18
Typical High
$229.09
United
Setting
Facility
Modifier
None
Typical Low
$251.19
Median
$275.42
Typical High
$616.60
United
Setting
Professional
Modifier
None
Typical Low
$83.18
Median
$128.82
Typical High
$213.80

Where Virginia 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.

Virginia· 31st of 51

$158

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.