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Distribution of U.S. workers' copayment to see a specialist, 2006-2023

Published by
Preeti Vankar,
Feb 19, 2024
In 2023, among the workers who had a copayment for a specialist physician visit, 33 percent of employees had a copayment somewhere between 45 and 60 U.S. dollars. This is the amount out-of-pocket they had to pay for each visit to a specialist doctor even if their deductible for the year had been reached. This statistic illustrates the distribution of copayments among covered workers with a copayment for a specialist physician visit in the United States from 2006 to 2023.

Distribution of copayments among covered workers with a copayment for a specialist physician office visit in the United States from 2006 to 2023*

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Release date

October 2023

Region

United States

Survey time period

2006-2023

Number of respondents

base: 2,133 non-federal public and private firms

Age group

18 years and older

Method of interview

Computer-assisted telephone interviews (CATI)

Supplementary notes

Previous years from KFF Employer Health Benefits Survey, 2018-2019; Kaiser/HRET Survey of Employer-Sponsored Health Benefits, 2006-2017.
*In 2021, for specialist physician visits, 69% of employees had copayment, 22% coinsurance, 5% had no cost sharing, and 4% had other. Cost sharing includes copayment and coinsurance and is in addition to any general annual deductible.
Percentages less than 3 percent were calculated manually. Missing percentage points to 100 percent are probably due to rounding.

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