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Normandin Beaudry

Rates for health care professionals in 2011

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There, in black and white

NB Bulletin Vol. 14 N. 8, August 2011

During the summer, Normandin Beaudry conducted its 14th 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 2010 allows you to validate the inflation assumption used by your insurer in renewing your health premium rates.

Methodology

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 an hourly rate basis since group insurance plans usually establish their maximum reimbursements on a per visit basis. Also, note that a number of specialists charge additional fees for the initial assessment. These additional fees are not included in our survey results.

We also consulted professional associations for each specialty. These associations recommend price levels but do not set mandatory fee schedules. Some of them compile data using their members’ fee schedules. Professional associations’ recommendations and private clinics statistics are presented in the table below.

Highlights

  • Overall, since the summer of 2010, we observed an average fee increase of approximately 3% in the Montreal area, 4% in the Quebec City area and 2% in the Outaouais area, which represent a $1 to $2 increase per visit.
  • Overall, since 2005 (the year we started surveying the three areas) we observed an average yearly fee increase of 3% in the Montreal area, 4.5% in the Quebec City area and 4% in the Outaouais area.
  • The results show that average fees for acupuncturists, audiologists and speech therapists, chiropractors and physiotherapists are higher in the Montreal area.
  • The average fees per visit charged by homeopaths in the Quebec City area are $15 to $20 lower than the fees charged in the Montreal and Outaouais areas.
  • Again this year, with regards to psychologists, masseurs and massage therapists and naturopath, we observed a significantly higher fee per visit in the Outaouais area than in the other areas surveyed.

Comparative Table of Average Fees per Visit (Summer 2011)

   Private Clinics
SpecialtyProfessional
Associations
MontrealQuebec CityOutaouais
Acupuncturist $60 to $80 $65 $50 $55
Audiologist and Speech Therapist $100 to $300 $90 $80 $85
Chiropractor $30 to $50 $50 $40 $40
Dietician $70 $40(2) $70 $70
Occupational Therapist n/a(1) $65 $60 $65
Homeopath $60 to $100 $75 $60 $80
Masseur and Massage Therapist $80 to $90 $55 $65 $75
Naturopath n/a(1) $75 $65 $105
Osteopath $80 to $100 $80 $75 $80
Physiotherapist $60 to $70 $60 $55 $55
Podiatrist $60 to $80 $45 $50n/a(3)
Psychologist $80 to $125 $95 $90 $115
 

(1) The results are not presented because the data is not available. 
(2) Half-hour visit rate
(3) The results are not presented because the number of specialists working in private clinics is too limited.


For your information, the schedules of reasonable and customary fees used by insurers for claims adjudication in Quebec are generally slightly higher than the average fees per visit observed for most of 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