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FQHC Visit, Established Patient

Texas 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 $76$1700%20%40%10th90th$95Professionalmedian $72 · 10th–90th $62$980%20%10th90th$72$20.0$50.0$100.0$200.0$500.0$1.0K$2.0K

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
Facility
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$112.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$95.50
Typical High
$169.82
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$60.26
Typical High
$91.20
BCBS
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$61.66
Typical High
$61.66
Christus
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$169.82
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
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$95.50
Typical High
$169.82
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$194.98
Providence
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$95.50
Typical High
$169.82
Providence
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$70.79
United
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$85.11
Typical High
$162.18