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FQHC Visit, Mental Health, New Patient

Massachusetts 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 negotiated rate. In Massachusetts, October 2026.

Insurers have agreed to pay about $110 for this service. The price depends on where it is billed: about $110 from a physician practice, and about $3,467 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$110$110 to $110
FacilityA hospital or hospital-owned outpatient department$3,467$2,512 to $3,631

How much rates vary

Facilitymedian $3,467 · 10th to 90th $251 to $4,898Professionalmedian $110 · 10th to 90th $110 to $110
$50$200$1K$5Kfacility $3,467professional $110

Distribution of negotiated rates across all payers (price axis is log-scale). 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
$109.65
AllWays Health Partners
Setting
Facility
Modifier
None
Typical Low
$245.47
Median
$251.19
Typical High
$389.05
AllWays Health Partners
Setting
Professional
Modifier
None
Typical Low
$42.66
Median
$42.66
Typical High
$42.66
Cigna
Setting
Professional
Modifier
None
Typical Low
$26.92
Median
$26.92
Typical High
$61.66
Fallon Health
Setting
Facility
Modifier
None
Typical Low
$83.18
Median
$3,630.78
Typical High
$9,772.37
Mass General Brigham
Setting
Facility
Modifier
None
Typical Low
$245.47
Median
$251.19
Typical High
$389.05
Mass General Brigham
Setting
Professional
Modifier
None
Typical Low
$42.66
Median
$42.66
Typical High
$42.66
United
Setting
Professional
Modifier
None
Typical Low
$213.80
Median
$213.80
Typical High
$275.42
Well Sense
Setting
Facility
Modifier
None
Typical Low
$2,511.89
Median
$3,630.78
Typical High
$3,801.89
Well Sense
Setting
Professional
Modifier
None
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$3,019.95

Where Massachusetts 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.

Massachusetts· 38th 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.