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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 October 2026.

How much does FQHC Visit, Established Patient cost?

$87.10

Typical physician fee. In Iowa, October 2026.

Insurers have agreed to pay about $87.10 for this service. Most negotiated rates run $74.13 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 $141 · 10th to 90th $98 to $162Professionalmedian $79 · 10th to 90th $74 to $141
$100$200facility $141professional $79

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
$95.50
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
$144.54
Hally Health
Setting
Professional
Modifier
None
Typical Low
$144.54
Median
$177.83
Typical High
$239.88
Medica
Setting
Facility
Modifier
None
Typical Low
$123.03
Median
$141.25
Typical High
$162.18
Medica
Setting
Professional
Modifier
None
Typical Low
$141.25
Median
$141.25
Typical High
$141.25
Midlands
Setting
Professional
Modifier
None
Typical Low
$144.54
Median
$144.54
Typical High
$144.54
Midlands
Setting
Professional
Modifier
None
Typical Low
$141.25
Median
$144.54
Typical High
$144.54
Wellmark
Setting
Professional
Modifier
None
Typical Low
$74.13
Median
$74.13
Typical High
$74.13

Where Iowa 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.

Iowa· 19th of 51

$87.10

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.