PayerParity

Sarah Duran, LPC-ASSOCIATE

Counselor · Houston, TX 77096 · NPI 1558188557 · 1 payer file

63%of Medicare

Aetna — Texas (office visit and psychotherapy codes only) pays Sarah Duran, LPC-ASSOCIATE $86.56 for a 99214 — Office visit, established patient, moderate complexity. Medicare pays $137.41 for the same service in this locality. Commercial insurance is widely assumed to pay above Medicare. The file lists 36 contract rows for this clinician and code, from $65.56 to $114.30; the median is shown.

Negotiated rates vs Medicare

ServicePayer · planNegotiatedMedicare% of MedicareAmong Houston counselors, same plan
99214Office visit, established patient, moderate complexityAetna — Texas (office visit and psychotherapy codes only)$86.56median of 36 rows · $65.56–$114.30$137.4163%

above 1% of 102 Houston counselors on this plan

Sources. Aetna — Texas (office visit and psychotherapy codes only) (August 2026 extract). Each payer’s machine-readable file, joined to the national provider registry by NPI. Rates are the negotiated professional amounts — not billed charges, and not what a member owes after cost sharing. Where a file carries several contract rows for one clinician and code, the median is shown with the range and row count beneath it.

Medicare. Non-facility allowed amount, HOUSTON, Texas, Locality 18, CY2026 non-QP conversion factor, computed from RVUs and the locality’s geographic indices — not looked up from a table.

Position. Percentile of this rate among Houston clinicians in the same specialty holding a rate for the same code on the same plan; falls back to all Houston clinicians on that plan where the specialty cohort is under ten. Payers are never pooled.

Built 2026-09-03 · PayerParity