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FQHC Visit, Established Patient

Iowa 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 July 2026.

How much does FQHC Visit, Established Patient cost?

$95.50

Typical physician fee. In Iowa, July 2026.

Insurers have agreed to pay about $95.50 for this service. Most negotiated rates run $95.50 to $170.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $95 · 10th to 90th $95 to $158Professionalmedian $95 · 10th to 90th $69 to $204
$10.0$20.0$50.0$100.0$200.0facility $95professional $95

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$95.50
Aetna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$95.50
Typical High
$204.17
Cigna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$70.79
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$169.82
Typical High
$257.04
Medica
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$158.49
Medica
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$141.25
Midlands
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$144.54
Midlands
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$144.54
United
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$85.11
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$74.13

Where Iowa sits

The same service costs 2.2 times more in Minnesota than in New Hampshire. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Iowa $95.50 · 31st of 51
MN $182NH $83.18

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.