Doctor’s fee or facility fee? These are facility fees: what the insurer pays the hospital or surgery center itself. The doctors who treat you bill separately, on top of it. (About 8% of these prices are doctors' fees instead, which can show up as unusually low prices.)
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.