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FQHC Visit, Initial Preventive Exam or Annual Wellness Visit

Virginia 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 negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $129 for this service. The price depends on where it is billed: about $129 from a physician practice, and about $132 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 7 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$129$117 to $129
FacilityA hospital or hospital-owned outpatient department$132$129 to $174

How much rates vary

Facilitymedian $132 · 10th to 90th $126 to $219Professionalmedian $129 · 10th to 90th $110 to $132
$0.1$1$10$100$1Kfacility $132professional $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
$125.89
Median
$128.82
Typical High
$128.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$128.82
Typical High
$131.83
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.02
Median
$0.02
Typical High
$0.02
Cigna
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$50.12
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$177.83
Typical High
$177.83
Medcost
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$131.83
Typical High
$218.78
Sentara
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$1,288.25
Typical High
$4,073.80
Sentara
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$1,288.25
Typical High
$4,073.80
United
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$218.78

Where Virginia 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.

Virginia· 11th 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.