Doctor’s fee or facility fee?This mixes two kinds of price: 17% are doctors' fees and 83% are facility fees paid to a hospital or surgery center. Facility fees are usually far higher, so a wide spread can be the two kinds side by side, not providers charging wildly different amounts. Either way, expect a doctor's fee and a facility fee as separate bills when this is done in a hospital or surgery center.
County
Providers
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.
Counties with fewer than five providers are not shown. A price
in a county with one or two providers would be those providers’ own price;
provider-level detail is not published here, but
this specific data can be requested here. A provider is placed in the county of
the practice address it registered with the federal NPI registry.