Objective: To investigate and analyze the current policies, rates, financing, and implementation of contracted family doctor service fees in China, in order to provide scientific grounds for improving the payment mechanism for contracted service. Meth- ods: Based on a survey addressed to the local health departments, an investigation was conducted on the implementation status of con- tracted service fees in 282 prefecture-level cities nationwide. Results: Currently, 241 cities have introduced policies to clarify the rates and funding shares for contracted service, with 147 cities including contracted service fees in the scope of medical insurance pay- ments. There are significant differences in the rates for contracted services across regions, ranging from 5 to 150 yuan per year per per- son, with basic public health service funding still being the main source of funding (41%), followed by medical insurance (39%) and out-of-pocket payment (20%). Conclusion: In order to address the issues of unstable funding and inadequate payment of medical in- surance, the payment schemes should be further improved, including the demonstration of the formulation of rates on the basis of pack- age of services，also the capitation payment method for outpatients services matched with contracted family doctor service.