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FQHC Visit, Mental Health, Established Patient

Pennsylvania rates for HCPCS G0470

Federally Qualified Health Center (FQHC) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established 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 July 2026.

How much does FQHC Visit, Mental Health, Established Patient cost?

$112

Typical physician fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $112 for this service. Most negotiated rates run $83.18 to $112.

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.

How much rates vary

Facilitymedian $65 · 10th to 90th $65 to $65Professionalmedian $112 · 10th to 90th $78 to $112
$100facility $65professional $112

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$112.20
Typical High
$112.20
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$61.66
Typical High
$141.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
Cigna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$67.61
Typical High
$67.61
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$112.20
Typical High
$112.20
United
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$204.17

Where Pennsylvania sits

The same service costs 1.7 times more in Minnesota than in Vermont. 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.

Pennsylvania· 26th of 51

$112

MN $145VT $83.18

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.