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Initial Preventive Physical Examination

Vermont 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?

$145

Typical physician fee. In Vermont, July 2026.

Insurers have agreed to pay about $145 for this service. Most negotiated rates run $115 to $174.

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 $145 · 10th to 90th $85 to $174Professionalmedian $145 · 10th to 90th $100 to $229
$100$200facility $145professional $145

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
$144.54
Median
$144.54
Typical High
$173.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$144.54
Typical High
$190.55
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$169.82
Median
$169.82
Typical High
$263.03
BCBS
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$208.93
Typical High
$208.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$338.84
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$229.09
Typical High
$338.84
United
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$85.11
United
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$173.78
Typical High
$331.13

Where Vermont 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.

Vermont· 34th of 51

$145

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.