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FQHC Visit, Established Patient

Wisconsin 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 Wisconsin, 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 $97.72 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$70.79$70.79 to $97.72
FacilityA hospital or hospital-owned outpatient department$97.72$95.50 to $97.72

How much rates vary

Facilitymedian $98 · 10th to 90th $95 to $98Professionalmedian $71 · 10th to 90th $71 to $98
$50$100$200facility $98professional $71

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$97.72
Median
$97.72
Typical High
$97.72
Aetna
Setting
Professional
Modifier
None
Typical Low
$95.50
Median
$97.72
Typical High
$251.19
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$47.86
Median
$48.98
Typical High
$125.89
Cigna
Setting
Professional
Modifier
None
Typical Low
$70.79
Median
$70.79
Typical High
$70.79
DeanCare
Setting
Facility
Modifier
None
Typical Low
$95.50
Median
$95.50
Typical High
$95.50
Medica
Setting
Facility
Modifier
None
Typical Low
$95.50
Median
$95.50
Typical High
$95.50
Prevea360
Setting
Facility
Modifier
None
Typical Low
$95.50
Median
$95.50
Typical High
$95.50
Quartz
Setting
Professional
Modifier
None
Typical Low
$70.79
Median
$70.79
Typical High
$70.79

Where Wisconsin 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.

Wisconsin· 32nd 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.