Commercial Fees for Clinician-Delivered Services Averaged 122% of Medicare Rates in 2017

The amount that private insurers paid for professional health care services (i.e. those delivered by a clinician) were, on average, 122% of Medicare rates nationally in 2017, according to a recent Health Care Cost Institute report. In seven states, the average commercial prices exceeded 150% of Medicare rates, while eleven states saw average clinician fees within 10% of Medicare. Though no state reported payments higher than 200% of Medicare rates, five metro areas in Wisconsin had prices above this threshold. Places with higher commercial prices tended to be in the Northwest, and in the areas around large cities.

0 Comments
© 2023 MMIT
Jinghong Chen

Jinghong Chen Reporter

Jinghong produces infographics and data stories on health insurance and specialty pharmacy for AIS Health. She graduated from Missouri School of Journalism with a focus on data journalism and international reporting. Before joining AIS in 2018, she worked at WBEZ, Al Jazeera English and The New York Times Chinese.

Related Posts

doctor-holding-patient-hands
June 2

As COVID-Related Policies Expire, Health Coverage May Reshuffle

READ MORE
medicaid-application
June 2

CMS Tells States to Slow Down Medicaid Disenrollment as Florida, Arkansas Reports Raise Alarm

READ MORE
medical-billing
June 2

Stymied in Bid to Expand Site-Neutral Pay Policies, Payers Support Transparent Billing

READ MORE

GAIN THERAPEUTIC AREA-SPECIFIC INTEL TO DRIVE ACCESS FOR YOUR BRAND

Sign up for publications to get unmatched business intelligence delivered to your inbox.

subscribe today