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FQHC Visit, Established Patient

Montana 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.

Facilitymedian $95 · 10th–90th $71$1740%20%40%10th90th$95Professionalmedian $95 · 10th–90th $69$1700%50%10th90th$95$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$95.50
Typical High
$169.82
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$66,069.34
Typical High
$81,283.05
BCBS
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$794.33
Typical High
$794.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$70.79
Providence
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$95.50
Typical High
$169.82
Providence
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$79.43