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FQHC Visit, Mental Health, New Patient

Texas 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 Texas, 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 $234 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 9 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$141$36.31 to $141
FacilityA hospital or hospital-owned outpatient department$234$234 to $234

How much rates vary

Facilitymedian $234 · 10th to 90th $141 to $234Professionalmedian $141 · 10th to 90th $36 to $141
$50$100$200facility $234professional $141

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
$141.25
Median
$141.25
Typical High
$141.25
Aetna
Setting
Professional
Modifier
None
Typical Low
$141.25
Median
$141.25
Typical High
$141.25
Ambetter
Setting
Professional
Modifier
None
Typical Low
$61.66
Median
$61.66
Typical High
$61.66
BCBS Texas
Setting
Professional
Modifier
None
Typical Low
$36.31
Median
$36.31
Typical High
$36.31
Christus
Setting
Facility
Modifier
None
Typical Low
$234.42
Median
$234.42
Typical High
$234.42
Cigna
Setting
Professional
Modifier
None
Typical Low
$26.92
Median
$26.92
Typical High
$26.92
Moda Health
Setting
Facility
Modifier
None
Typical Low
$141.25
Median
$141.25
Typical High
$204.17
Moda Health
Setting
Professional
Modifier
None
Typical Low
$141.25
Median
$141.25
Typical High
$141.25
Molina
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Providence
Setting
Facility
Modifier
None
Typical Low
$141.25
Median
$141.25
Typical High
$204.17
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 Texas 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.

Texas· 4th 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.