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Normandin Beaudry

The rates of Health Care Professionals in 2007

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There, in black and white

NB Bulletin Vol. 10 N. 12, October 2007

During the summer, Normandin Beaudry conducted its 10th annual survey of fees charged by health care professionals in Quebec. Since health care services provided by these specialists are generally covered by group insurance plans, we believe that the results of our survey will be of great interest to you. The average fees per visit could be useful in establishing the maximum amounts payable under your group insurance plans. Moreover, the average fee per visit increase compared to that of 2006 allows you to validate the inflation assumption used by your insurer in renewing your health premium rates.

Methodology

We first consulted professional associations for each specialty. These associations recommend price levels but do not set mandatory fee schedules. A number of associations, however, compile data based on the fee schedules of their members. These recommendations and statistics are presented on the table below.

We surveyed a sample of private clinics in the Montreal, Quebec City and Outaouais areas. Our results are presented on an average fee per visit basis rather than on an hourly rate basis since group insurance plans usually establish their maximum reimbursements on a per visit basis. Also, please note that a number of specialists charge additional fees for the initial assessment. These additional fees are not included in our survey results.

Highlights  

  • Overall, we observed an average fee increase of approximately 3% in the Montreal area and of 6% in the Quebec City and Outaouais areas since the summer of 2006, which represents a $5 to $10 increase per visit.
  • The results obtained show that average fees are similar or lower in Quebec City than in Montreal, with the exception of fees charged by dietitians and occupational therapists. We observed a higher fee increase for dietitians in Quebec City. This is explained by a significant increase in the average duration of the visit in this region, compared to what we observed in 2006 and compared to the average visit duration in other areas. Moreover, the average fees provided by the Quebec Professional Association of Dietitians is $70 for a one-hour consultation, but according to the information given by private clinics, the duration of a consultation is usually shorter.
  • The average fees per visit in Outaouais are similar or slightly lower than those observed in the Montreal area. However, we observed an exception for massage therapists, dietitians and psychologists, whose average rates are higher than those for the Montreal area.
  • We noticed an important fees decrease for occupational therapists in the Outaouais area. This is explained by a decrease in the average duration of the visit in this region and by the fact that specialized sessions for children were not considered in our 2007 survey.

Comparative Table of Average Fees per Visit (Summer 2007)


SpecialtyProfessionnal
Associations
Private Clinics
   
   MontrealQuebecOutaouais

  • Acupuncturist
$40 to $60 $50 $45 $50
  • Audiologist and
    Speech Therapist
$90 to $100 $85 $85 $85
  • Chiropractor
$25 to $45 $40 $35 $35
  • Dietitian
$70 $35 $65 $40
  • Occupational
    Therapist
$60 to $100 $55 $65 $50
  • Homeopath
$60 to $100 $65 $50 $65
  • Masseur and
    Massage
    Therapist
$50 to $80 $60 $55 $70
  • Naturopath
$60 to $90 $70 $60 $70
  • Osteopath
$50 to $100 $75 $65 $70
  • Physiotherapist
n/a $55 $50 $45
  • Podiatrist
$50 to $80 $65 $45 n/a (1)
  • Psychologist
$70 to $125 $90 $80 $100


(1) The results for podiatrists in the Outaouais area are not presented since the number of specialists working in private clinics is too limited.

The schedules of reasonable and customary fees used by insurers for claims handling in Quebec are slightly higher than the average expenses per visit observed for the surveyed specialists.

 

Please feel free to contact us for additional information.

514.285.1122
 
630, René-Lévesque Blvd. West, 30th floor
Montreal, Quebec, H3B 1S6