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Nationwide rates for HCPCS G0466

Federally Qualified Health Center (FQHC) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new patient and a FQHC practitioner during which time one or more FQHC services are rendered and includes a typical bundle of Medicare-covered services that would be furnished per diem to a patient receiving a FQHC visit

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier	Facility/Professional	Typical Low	Median	Typical High
Aetna Facility/Professional Facility Modifier Typical Low / Median / Typical High $100.00 / $123.03 / $158.49	Facility	$100.00	$123.03	$158.49
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $123.03 / $186.21	Professional	$100.00	$123.03	$186.21
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $0.02 / $69.18 / $81.28	Professional	$0.02	$69.18	$81.28
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $64.57 / $64.57 / $64.57	Facility	$64.57	$64.57	$64.57
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $72.44 / $72.44	Professional	$72.44	$72.44	$72.44
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $151.36 / $263.03	Professional	$131.83	$151.36	$263.03

Nationwide rates for HCPCS G0466

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