go back

FQHC Visit, Established Patient

Colorado 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?

$95.50

Typical physician fee. In Colorado, October 2026.

Insurers have agreed to pay about $95.50 for this service. Most negotiated rates run $70.79 to $97.72.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $98 · 10th to 90th $95 to $162Professionalmedian $95 · 10th to 90th $71 to $98
$100$200facility $98professional $95

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
$97.72
Median
$97.72
Typical High
$97.72
Aetna
Setting
Professional
Modifier
None
Typical Low
$75.86
Median
$97.72
Typical High
$97.72
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$47.86
Median
$48.98
Typical High
$48.98
Cigna
Setting
Professional
Modifier
None
Typical Low
$70.79
Median
$70.79
Typical High
$70.79
Denver HMP
Setting
Facility
Modifier
None
Typical Low
$95.50
Median
$104.71
Typical High
$162.18
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$154.88
Median
$239.88
Typical High
$346.74
Select Health
Setting
Professional
Modifier
None
Typical Low
$213.80
Median
$213.80
Typical High
$5,011.87
United
Setting
Professional
Modifier
None
Typical Low
$162.18
Median
$204.17
Typical High
$281.84

Where Colorado 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.

Colorado· 12th of 51

$95.50

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.