At least 6700 Rohingya were killed in the month after violence broke out in Myanmar in August, Medecins Sans Frontieres (MSF) says.
Based on surveys of refugees in Bangladesh, the number is much higher than Myanmar's official figure of 400.
MSF said it was "the clearest indication yet of the widespread violence" by Myanmar authorities.
The Myanmar military blames the violence on "terrorists" and has denied any wrongdoing.
More than 647,000 Rohingya have fled into Bangladesh since August, MSF says.
The aid group's survey found that at least 9000 Rohingya died in Myanmar between 25 August and 24 September.
"In the most conservative estimations" at least 6,700 of those deaths have been caused by violence, including at least 730 children under the age of five, according to MSF.
Previously, the armed forces stated that around 400 people had been killed, most of them described as Muslim terrorists.
The military crackdown began on 25 August after Rohingya Arsa militants attacked more than 30 police posts.
After an internal investigation, the Myanmar army in November exonerated itself of any blame regarding the crisis.
It denied killing any civilians, burning their villages, raping women and girls, and stealing possessions.
The mostly Muslim minority are denied citizenship by Myanmar, where they are seen as immigrants from Bangladesh. The government does not use the term Rohingya but calls them Bengali Muslims.
The government's assertions contradicted evidence seen by BBC correspondents. The United Nations human rights chief has said it seems like "a textbook example of ethnic cleansing".
What we uncovered was staggering, both in terms of the numbers of people who reported a family member died as a result of violence, and the horrific ways in which they said they were killed or severely injured," MSF Medical Director Sidney Wong said.
According to MSF, 69 percent of the violence-related deaths were caused by gunshots, 9 percent were due to being burnt to death in their houses and 5 percent were beaten to death.
Among the dead children below the age of five, MSF says more than 59 percent were reportedly shot, 15 percent burnt to death, 7 percent beaten to death and percent killed by landmine blasts.
"The numbers of deaths are likely to be an underestimation as we have not surveyed all refugee settlements in Bangladesh and because the surveys don't account for the families who never made it out of Myanmar," Mr Wong said.
In November, Bangladesh signed a deal with Myanmar to return hundreds of thousands of the refugees.
MSF said the agreement was "premature" pointing out that "currently people are still fleeing" and reports of violence have come even in recent weeks.
The group also warned there was still very limited access for aid groups into Rakhine state.
The Rohingya are a stateless Muslim minority who have long experienced persecution in Myanmar.
- BBC / RNZ