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FQHC Visit, Established Patient

Tennessee 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 negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $95.50 for this service. The price depends on where it is billed: about $95.50 from a physician practice, and about $100 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$95.50$77.62 to $95.50
FacilityA hospital or hospital-owned outpatient department$100$100 to $170

How much rates vary

Facilitymedian $100 · 10th to 90th $100 to $170Professionalmedian $95 · 10th to 90th $69 to $105
$20.0$50.0$100.0facility $100professional $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. 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
Global
Typical Low
$169.82
Median
$169.82
Typical High
$169.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$95.50
Typical High
$104.71
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$54.95
Typical High
$85.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$70.79
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$79.43

Where Tennessee 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.

Tennessee $95.50 · 32nd 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.