Doctor’s fee or facility fee? These are single prices the insurer publishes for both the doctor's and the facility's part of the service.
Who is counted: Medica lists clinicians individually: 99% of the 60,993 provider IDs (NPIs) it names are individual doctors, nurse practitioners and therapists; the rest are practices, clinics and hospitals. “Providers” counts those IDs. Medica’s files name 39,999 providers for this procedure; 1,360 are counted here: the clinicians whose specialty performs it — mostly General Acute Care Hospital, Home Health and Diagnostic Radiology — and the practices, clinics and hospitals. Insurers attach their whole fee schedule to every contracted provider, so the rest are clinicians listed at a price for something they never do; counting them would inflate the provider count and pull the typical price towards the fee schedule’s floor.
Not on this map: Care outside Medica's own network: for many plans Medica rents UnitedHealthcare's national networks (Choice Plus and Options PPO), and for some MultiPlan (PHCS), Midlands Choice and Healthcare Highways. Those prices are set by those networks, so they are not included here. Mental health care: Medica rents Optum's behavioral health network; its prices are not included here.
State
Providers
Named in files
Organisations
Zip codes
Lowest
25th pct
Median
75th pct
Highest
vs Medicare
“x Medicare” compares each price with what original Medicare pays a doctor for the same service in the same state under its physician fee schedule (RVU26D, in force from 2026-10-01) — the price for a doctor's own office. Insurers write their contracts as a share of Medicare, so 1.3x means the insurer pays 30% more than Medicare would; Medicare Advantage plans generally pay close to 1.0x. The prices on this map include a facility fee, which Medicare pays separately and which is not in its physician price, so the ratio here runs high and is a rough guide only.
This is a statewide summary. Prices vary far more between towns and between practices than these medians suggest; zip-code and provider-level detail is not published here; this specific data can be requested here.