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FQHC Visit, Initial Preventive Exam or Annual Wellness Visit

Massachusetts rates for HCPCS G0468

Federally Qualified Health Center (FQHC) visit, IPPE or AWV; a FQHC visit that includes an initial preventive physical examination (IPPE) or annual wellness visit (AWV) and includes a typical bundle of Medicare-covered services that would be furnished per diem to a patient receiving an IPPE or AWV

Rates data updated July 2026.

How much does FQHC Visit, Initial Preventive Exam or Annual Wellness Visit cost?

$129

Typical facility fee. In Massachusetts, July 2026.

Insurers have agreed to pay about $129 for this service. Most negotiated rates run $117 to $129.

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.

How much rates vary

Facilitymedian $117 · 10th to 90th $83 to $117Professionalmedian $129 · 10th to 90th $110 to $132
$100$200facility $117professional $129

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$117.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$128.82
Typical High
$131.83
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$50.12
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$70.79
Typical High
$93.33
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00

Where Massachusetts sits

The same service costs 2.1 times more in Minnesota than in New Hampshire. 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.

Massachusetts· 16th of 51

$129

MN $245NH $117

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.