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*
Characteristic
15 U.S. dollars or less
15.01-30 U.S. dollars
30.01-45 U.S. dollars
45.01-60 U.S. dollars
More than 60 U.S. dollars
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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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Kaiser Family Foundation. (October 18, 2023). Distribution of copayments among covered workers with a copayment for a specialist physician office visit in the United States from 2006 to 2023* [Graph]. In Statista. Retrieved July 27, 2024, from https://www.statista.com/statistics/1249302/distribution-of-us-workers-copayment-to-see-specialist/
Kaiser Family Foundation. "Distribution of copayments among covered workers with a copayment for a specialist physician office visit in the United States from 2006 to 2023*." Chart. October 18, 2023. Statista. Accessed July 27, 2024. https://www.statista.com/statistics/1249302/distribution-of-us-workers-copayment-to-see-specialist/
Kaiser Family Foundation. (2023). Distribution of copayments among covered workers with a copayment for a specialist physician office visit in the United States from 2006 to 2023*. Statista. Statista Inc.. Accessed: July 27, 2024. https://www.statista.com/statistics/1249302/distribution-of-us-workers-copayment-to-see-specialist/
Kaiser Family Foundation. "Distribution of Copayments among Covered Workers with a Copayment for a Specialist Physician Office Visit in The United States from 2006 to 2023*." Statista, Statista Inc., 18 Oct 2023, https://www.statista.com/statistics/1249302/distribution-of-us-workers-copayment-to-see-specialist/
Kaiser Family Foundation, Distribution of copayments among covered workers with a copayment for a specialist physician office visit in the United States from 2006 to 2023* Statista, https://www.statista.com/statistics/1249302/distribution-of-us-workers-copayment-to-see-specialist/ (last visited July 27, 2024)
Distribution of copayments among covered workers with a copayment for a specialist physician office visit in the United States from 2006 to 2023* [Graph], Kaiser Family Foundation, October 18, 2023. [Online]. Available: https://www.statista.com/statistics/1249302/distribution-of-us-workers-copayment-to-see-specialist/
