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FQHC Visit, Mental Health, New Patient

Indiana 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?

$141

Typical negotiated rate. In Indiana, October 2026.

Insurers have agreed to pay about $141 for this service. The price depends on where it is billed: about $141 from a physician practice, and about $912 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$141$141 to $141
FacilityA hospital or hospital-owned outpatient department$912$141 to $955

How much rates vary

Facilitymedian $912 · 10th to 90th $0 to $2,138Professionalmedian $141 · 10th to 90th $132 to $141
$0.1$1$10$100$1Kfacility $912professional $141

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
$131.83
Median
$141.25
Typical High
$141.25
Aetna
Setting
Professional
Modifier
None
Typical Low
$131.83
Median
$141.25
Typical High
$141.25
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$0.02
Median
$0.02
Typical High
$0.02
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$0.02
Median
$0.02
Typical High
$0.02
Cigna
Setting
Professional
Modifier
None
Typical Low
$26.92
Median
$26.92
Typical High
$26.92
Physicians Health Plan of Northern Indiana
Setting
Facility
Modifier
None
Typical Low
$912.01
Median
$954.99
Typical High
$2,187.76
United
Setting
Professional
Modifier
None
Typical Low
$275.42
Median
$275.42
Typical High
$275.42

Where Indiana 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.

Indiana· 20th of 51

$141

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.