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.
Citation formats
Distribution of U.S. workers' copayment to see a specialist, 2006-2025
In 2025, among the workers who had a copayment for a specialist physician visit, ** 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.
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KFF. (October 22, 2025). Distribution of copayments among covered workers with a copayment for a specialist physician office visit in the United States from 2006 to 2025* [Graph]. In ÌÇÐÄÆƽâ°æ. Retrieved July 28, 2026, from /statistics/1249302/distribution-of-us-workers-copayment-to-see-specialist/
KFF. "Distribution of copayments among covered workers with a copayment for a specialist physician office visit in the United States from 2006 to 2025*." Chart. October 22, 2025. ÌÇÐÄÆƽâ°æ. Accessed July 28, 2026. /statistics/1249302/distribution-of-us-workers-copayment-to-see-specialist/
KFF. (2025). Distribution of copayments among covered workers with a copayment for a specialist physician office visit in the United States from 2006 to 2025*. ÌÇÐÄÆƽâ°æ. ÌÇÐÄÆƽâ°æ Inc.. Accessed: July 28, 2026. /statistics/1249302/distribution-of-us-workers-copayment-to-see-specialist/
KFF. "Distribution of Copayments among Covered Workers with a Copayment for a Specialist Physician Office Visit in The United States from 2006 to 2025*." ÌÇÐÄÆƽâ°æ, ÌÇÐÄÆƽâ°æ Inc., 22 Oct 2025, /statistics/1249302/distribution-of-us-workers-copayment-to-see-specialist/
KFF, Distribution of copayments among covered workers with a copayment for a specialist physician office visit in the United States from 2006 to 2025* ÌÇÐÄÆƽâ°æ, /statistics/1249302/distribution-of-us-workers-copayment-to-see-specialist/ (last visited July 28, 2026)
Distribution of copayments among covered workers with a copayment for a specialist physician office visit in the United States from 2006 to 2025* [Graph], KFF, October 22, 2025. [Online]. Available: /statistics/1249302/distribution-of-us-workers-copayment-to-see-specialist/
