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RHC/FQHC General Care Management

New Mexico rates for HCPCS G0511

Rural Health Clinic or Federally Qualified Health Center (RHC or FQHC) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an RHC or FQHC practitioner (physician, NP, PA, or CNM), per calendar month

Rates data updated July 2026.

How much does RHC/FQHC General Care Management cost?

$39.81

Typical physician fee. In New Mexico, July 2026.

Insurers have agreed to pay about $39.81 for this service. Most negotiated rates run $33.11 to $60.26.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $40 · 10th to 90th $32 to $79
$50$100professional $40

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
Cigna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$79.43
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$60.26
Providence
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$69.18
Typical High
$173.78

Where New Mexico sits

The same service costs 19.5 times more in Tennessee 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.

New Mexico· 40th of 43

$39.81

TN $490MS $25.12

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.