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Commercial reimbursement rates by medical specialty

Compare reimbursement rates by medical specialty using price transparency data. Explore payer benchmarks, state averages, and available previews.

39 published marketsCommercial payer dataNational and state views

Browse specialties

Choose a specialty to compare national benchmarks and explore rates by state.

Allergy & Immunology

Compare commercial rates for testing, immunotherapy, office visits, pulmonary testing, and biologic services.

ProfessionalJun–Jul 2026

Anesthesia

Compare anesthesia conversion factors and service-line payment structures across payers, provider entities, and states.

ProfessionalJun–Jul 2026

Behavioral Health Facilities

Compare rates for withdrawal management, intensive outpatient, partial hospitalization, residential, and inpatient services.

Facility and programAug–Dec 2023, Jan–May 2026

Emergency Medicine

Compare national commercial rates for emergency department evaluation, high-acuity care, and critical care.

ProfessionalAug 2026

Gastroenterology

Compare endoscopy, colonoscopy, office, pathology, and infused-drug rates without mixing incompatible payment units.

ProfessionalJun–Jul 2026

Hospitalist

Compare rates for initial, subsequent, observation, discharge, critical, and prolonged inpatient care.

Professional inpatientJun–Jul 2026

Neurology

Compare commercial rates for EEG, nerve conduction and EMG, chemodenervation, office visits, and botulinum toxin drug units.

ProfessionalJun–Jul 2026

Obstetrics & Gynecology

Compare maternity, delivery, ultrasound, office, preventive, screening, and selected reproductive-service rates.

ProfessionalJun–Jul 2026

Ophthalmology

Compare cataract, retinal treatment, diagnostic imaging, eye-examination, and office-visit rates.

ProfessionalJun–Jul 2026

Pathology

Compare surgical pathology, immunohistochemistry, hematology, chemistry, coagulation, and microbiology rates.

Professional and laboratoryJun–Jul 2026

Psychiatry

Compare commercial rates for psychiatric evaluation, psychotherapy, neuromodulation, and evaluation and management services.

ProfessionalJun–Jul 2026

Therapy & Counseling

Compare commercial rates for individual, family, crisis, and group psychotherapy and health behavior services among therapist provider types.

Professional therapy servicesJun–Aug 2026

Radiology

Compare national commercial rates for X-ray, CT, MRI, and screening mammography across payers.

ProfessionalJun–Jul 2026

Addiction Medicine

Compare payer-published addiction medicine benchmarks for medication treatment; counseling; testing; office visits.

ProfessionalJun–Jul 2026

Cardiovascular Disease

Compare payer-published cardiovascular disease benchmarks for office visits; ECG; echocardiography; stress testing; catheterization.

ProfessionalJun–Jul 2026

Colon & Rectal Surgery

Compare payer-published colon & rectal surgery benchmarks for endoscopy; anorectal procedures; colorectal surgery; office visits.

ProfessionalJun–Jul 2026

Dermatology

Compare payer-published dermatology benchmarks for office visits; biopsy; lesion treatment; mohs surgery; repair.

ProfessionalJun–Jul 2026

Endocrinology

Compare payer-published endocrinology benchmarks for office visits; glucose monitoring interpretation; laboratory testing; diabetes education.

ProfessionalJun–Jul 2026

Family Medicine

Compare payer-published family medicine benchmarks for office visits; preventive visits; annual wellness; transitional care.

ProfessionalJun–Jul 2026

General Pediatrics

Compare payer-published general pediatrics benchmarks for office visits; age-specific preventive visits; immunization administration; developmental screening.

ProfessionalJun–Jul 2026

General Surgery

Compare payer-published general surgery benchmarks for gallbladder surgery; appendectomy; hernia repair; breast surgery; wound care.

ProfessionalJun–Jul 2026

Geriatric Medicine

Compare payer-published geriatric medicine benchmarks for office visits; nursing facility care; hospital care; laboratory context.

ProfessionalJun–Jul 2026

Hematology / Oncology

Compare payer-published hematology / oncology benchmarks for office visits; infusion administration; laboratory testing.

ProfessionalJun–Jul 2026

Hospice and Palliative Medicine

Compare payer-published hospice and palliative medicine benchmarks for professional hospital care; nursing facility care; care management; office visits.

ProfessionalJun–Jul 2026

Infectious Disease

Compare payer-published infectious disease benchmarks for office visits; hospital follow-up; initial hospital care; laboratory context.

ProfessionalJun–Jul 2026

Neonatology

Compare payer-published neonatology benchmarks for normal newborn care; initial neonatal critical care; subsequent neonatal critical care; other neonatal services.

ProfessionalJun–Jul 2026

Neurological Surgery

Compare payer-published neurological surgery benchmarks for spine surgery; decompression; cranial surgery; office visits.

ProfessionalJun–Jul 2026

Oral & Maxillofacial Surgery

Compare payer-published oral & maxillofacial surgery benchmarks for jaw surgery; reconstruction; lesion procedures; office visits.

ProfessionalJun–Jul 2026

Orthopaedic Surgery

Compare payer-published orthopaedic surgery benchmarks for joint replacement; other surgery; imaging; therapy; office visits.

ProfessionalJun–Jul 2026

Otolaryngology

Compare payer-published otolaryngology benchmarks for office visits; nasal endoscopy; laryngoscopy; audiology; sinus procedures.

ProfessionalJun–Jul 2026

Pain Medicine

Compare payer-published pain medicine benchmarks for injections; facet interventions; ablation; stimulation; office visits.

ProfessionalJun–Jul 2026

Physical Medicine & Rehabilitation

Compare payer-published physical medicine & rehabilitation benchmarks for office visits; timed therapy; electrodiagnostics; injections; facility visits.

ProfessionalJun–Jul 2026

Pulmonary Disease

Compare payer-published pulmonary disease benchmarks for office visits; pulmonary testing; hospital care; sleep context.

ProfessionalJun–Jul 2026

Rheumatology

Compare payer-published rheumatology benchmarks for office visits; joint procedures; infusion administration; laboratory testing.

ProfessionalJun–Jul 2026

Sleep & PAP DME

Compare payer-published sleep & PAP DME benchmarks for PAP devices; masks and interfaces; tubing and filters; humidification; oral appliances.

ProfessionalJun–Jul 2026

Sleep Medicine

Compare payer-published sleep medicine benchmarks for sleep testing; office visits; pulmonary context; DME context.

ProfessionalJun–Jul 2026

Sports Medicine

Compare payer-published sports medicine benchmarks for office visits; joint procedures; timed therapy; imaging.

ProfessionalJun–Jul 2026

Transplant Surgery

Compare payer-published transplant surgery benchmarks for liver transplantation; kidney transplantation; organ preparation; professional follow-up.

ProfessionalJun–Jul 2026

Urology

Compare payer-published urology benchmarks for cystoscopy; stone procedures; prostate surgery; diagnostics; office visits.

ProfessionalJun–Jul 2026

Compare Specialty rates in your market

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  • Define the scopeChoose the codes, payers, networks and providers.
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  • Compare the ratesReview payer and provider rates for your selected market.
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Trusted by teams that need defensible reimbursement data

Buy and Bill
Acadia
Bold Steps Behavioral Health
ApolloMD
Psychiatric Alternatives & Wellness Center
EDPMA
Healthcare Leaders Association of New Jersey

What you can compare

The pages are designed to answer a market question without stripping away the billing context that makes the answer useful.

Payer benchmarks

Compare published commercial rate ranges and percentile positions across national payers.

State and provider comparisons

Move from national context into geographic and named billing-entity evidence where coverage allows.

Service-line economics

Keep codes, billing components, settings, and payment units aligned before interpreting a rate difference.