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Initial Preventive Physical Examination

West 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?

$132

Typical physician fee. In West Virginia, October 2026.

Insurers have agreed to pay about $132 for this service. Most negotiated rates run $112 to $162.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $162 · 10th to 90th $162 to $372Professionalmedian $132 · 10th to 90th $93 to $174
$100$200$500facility $162professional $132

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
Professional
Modifier
None
Typical Low
$125.89
Median
$144.54
Typical High
$154.88
Cigna
Setting
Facility
Modifier
None
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
Cigna
Setting
Professional
Modifier
None
Typical Low
$162.18
Median
$162.18
Typical High
$851.14
United
Setting
Facility
Modifier
None
Typical Low
$371.54
Median
$371.54
Typical High
$371.54
United
Setting
Professional
Modifier
None
Typical Low
$81.28
Median
$112.20
Typical High
$181.97

Where West 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.

West Virginia· 49th of 51

$132

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.