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FQHC Visit, Mental Health, New Patient

Ohio 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?

$132

Typical physician fee. In Ohio, October 2026.

Insurers have agreed to pay about $132 for this service. Most negotiated rates run $132 to $132.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $132 · 10th to 90th $132 to $251Professionalmedian $132 · 10th to 90th $30 to $141
$50$100$200facility $132professional $132

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
$131.83
Typical High
$251.19
Aetna
Setting
Professional
Modifier
None
Typical Low
$131.83
Median
$131.83
Typical High
$141.25
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$0.02
Median
$0.02
Typical High
$0.03
Cigna
Setting
Professional
Modifier
None
Typical Low
$26.92
Median
$26.92
Typical High
$26.92
Medical Mutual of Ohio
Setting
Professional
Modifier
None
Typical Low
$26.92
Median
$26.92
Typical High
$26.92
Molina
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$50.12
Typical High
$50.12
Optum
Setting
Professional
Modifier
None
Typical Low
$213.80
Median
$213.80
Typical High
$213.80
SummaCare
Setting
Professional
Modifier
None
Typical Low
$50.12
Median
$50.12
Typical High
$70.79
United
Setting
Professional
Modifier
None
Typical Low
$213.80
Median
$213.80
Typical High
$213.80

Where Ohio 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.

Ohio· 34th of 51

$132

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.