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FQHC Visit, Mental Health, New Patient

California rates for HCPCS G0469

Federally Qualified Health Center (FQHC) visit, mental health, new patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between a new 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 mental health visit

Rates data updated October 2026.

How much does FQHC Visit, Mental Health, New Patient cost?

$110

Typical physician fee. In California, October 2026.

Insurers have agreed to pay about $110 for this service. Most negotiated rates run $110 to $110.

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.

How much rates vary

Facilitymedian $110 · 10th to 90th $110 to $158Professionalmedian $110 · 10th to 90th $110 to $132
$50$100$200facility $110professional $110

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
$109.65
Median
$109.65
Typical High
$109.65
Aetna
Setting
Professional
Modifier
None
Typical Low
$109.65
Median
$109.65
Typical High
$131.83
Ambetter
Setting
Professional
Modifier
None
Typical Low
$61.66
Median
$61.66
Typical High
$61.66
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$691.83
Median
$758.58
Typical High
$758.58
Cigna
Setting
Professional
Modifier
None
Typical Low
$26.92
Median
$26.92
Typical High
$26.92
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$173.78
Median
$251.19
Typical High
$630.96
Providence
Setting
Facility
Modifier
None
Typical Low
$109.65
Median
$114.82
Typical High
$158.49
Providence
Setting
Professional
Modifier
None
Typical Low
$26.92
Median
$26.92
Typical High
$26.92
United
Setting
Professional
Modifier
None
Typical Low
$275.42
Median
$275.42
Typical High
$275.42

Where California sits

The same service costs 3.0 times more in North Carolina than in Mississippi. 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.

California· 39th of 51

$110

NC $229MS $77.62

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.