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FQHC Visit, Mental Health, New Patient

Virginia 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?

$107

Typical negotiated rate. In Virginia, October 2026.

Insurers have agreed to pay about $107 for this service. The price depends on where it is billed: about $107 from a physician practice, and about $166 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$107$107 to $141
FacilityA hospital or hospital-owned outpatient department$166$132 to $10,233

How much rates vary

Facilitymedian $166 · 10th to 90th $107 to $11,482Professionalmedian $107 · 10th to 90th $107 to $141
$50$200$1K$5Kfacility $166professional $107

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
$107.15
Median
$107.15
Typical High
$141.25
Aetna
Setting
Professional
Modifier
None
Typical Low
$107.15
Median
$107.15
Typical High
$141.25
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
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$177.83
Median
$186.21
Typical High
$186.21
Medcost
Setting
Facility
Modifier
None
Typical Low
$107.15
Median
$131.83
Typical High
$165.96
Sentara
Setting
Facility
Modifier
None
Typical Low
$7,413.10
Median
$10,232.93
Typical High
$11,481.54
Sentara
Setting
Professional
Modifier
None
Typical Low
$4,570.88
Median
$4,570.88
Typical High
$4,570.88
United
Setting
Professional
Modifier
None
Typical Low
$218.78
Median
$218.78
Typical High
$218.78

Where Virginia 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.

Virginia· 49th of 51

$107

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.