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FQHC Visit, Established Patient

Louisiana 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 negotiated rate. In Louisiana, October 2026.

Insurers have agreed to pay about $70.79 for this service. The price depends on where it is billed: about $70.79 from a physician practice, and about $170 from a hospital or other facility.

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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$70.79$51.29 to $95.50
FacilityA hospital or hospital-owned outpatient department$170$0.02 to $170

How much rates vary

Facilitymedian $170 · 10th to 90th $0 to $170Professionalmedian $71 · 10th to 90th $33 to $95
$0.1$1$10$100facility $170professional $71

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$95.50
Median
$95.50
Typical High
$95.50
Aetna
Setting
Professional
Modifier
None
Typical Low
$95.50
Median
$95.50
Typical High
$95.50
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$47.86
Median
$47.86
Typical High
$47.86
Ambetter
Setting
Professional
Modifier
None
Typical Low
$51.29
Median
$51.29
Typical High
$51.29
BCBS Louisiana
Setting
Facility
Modifier
None
Typical Low
$0.02
Median
$0.02
Typical High
$0.03
BCBS Louisiana
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$33.11
Typical High
$51.29
Christus
Setting
Facility
Modifier
None
Typical Low
$169.82
Median
$169.82
Typical High
$169.82
Cigna
Setting
Professional
Modifier
None
Typical Low
$70.79
Median
$70.79
Typical High
$70.79

Where Louisiana 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.

Louisiana· 41st 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.