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FQHC Visit, Established Patient

California rates for HCPCS G0467

Federally Qualified Health Center (FQHC) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established 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

Rates data updated October 2026.

How much does FQHC Visit, Established Patient cost?

$70.79

Typical physician fee. In California, October 2026.

Insurers have agreed to pay about $70.79 for this service. Most negotiated rates run $69.18 to $72.44.

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 9 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $69 · 10th to 90th $69 to $155Professionalmedian $71 · 10th to 90th $50 to $79
$100facility $69professional $71

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
Facility
Modifier
None
Typical Low
$69.18
Median
$69.18
Typical High
$154.88
Aetna
Setting
Professional
Modifier
None
Typical Low
$69.18
Median
$69.18
Typical High
$87.10
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$34.67
Median
$34.67
Typical High
$34.67
Ambetter
Setting
Professional
Modifier
None
Typical Low
$54.95
Median
$89.13
Typical High
$158.49
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$0.02
Median
$588.84
Typical High
$588.84
Blue Shield
Setting
Professional
Modifier
None
Typical Low
$50.12
Median
$72.44
Typical High
$74.13
Cigna
Setting
Professional
Modifier
None
Typical Low
$70.79
Median
$70.79
Typical High
$70.79
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$83.18
Median
$151.36
Typical High
$263.03
Molina
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
Providence
Setting
Facility
Modifier
None
Typical Low
$69.18
Median
$81.28
Typical High
$100.00
Providence
Setting
Professional
Modifier
None
Typical Low
$70.79
Median
$70.79
Typical High
$70.79
United
Setting
Professional
Modifier
None
Typical Low
$162.18
Median
$177.83
Typical High
$204.17

Where California sits

The same service costs 2.6 times more in North Carolina than in Arkansas. 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.

California· 37th of 51

$70.79

NC $151AR $58.88

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.