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FQHC Visit, Established Patient

Maine 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?

$85.11

Typical physician fee. In Maine, October 2026.

Insurers have agreed to pay about $85.11 for this service. Most negotiated rates run $70.79 to $85.11.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $85 · 10th to 90th $71 to $85
$100professional $85

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
Professional
Modifier
None
Typical Low
$72.44
Median
$85.11
Typical High
$85.11
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$42.66
Median
$42.66
Typical High
$42.66
Cigna
Setting
Professional
Modifier
None
Typical Low
$70.79
Median
$70.79
Typical High
$70.79
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$85.11
Median
$85.11
Typical High
$85.11
Martin's Point
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$42.66
Median
$42.66
Typical High
$42.66
United
Setting
Professional
Modifier
None
Typical Low
$204.17
Median
$204.17
Typical High
$204.17

Where Maine 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.

Maine· 20th of 51

$85.11

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.