Doctor with piggy bank Family medicine, obstetrics and gynecology, dermatology, ophthalmology and psychiatry had the lowest commercial markups relative to Medicare prices, averaging about 110% or less of Medicare rates. (Photo: iStock)

Private insurers generally pay physicians substantially higher rates than Medicare does for the same service. This differential could have implications for debates over physician payment reforms, public option and single-payer policies, and Medicare payment reforms.

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