PayerParity

Toni Covarrubias

Lactation Consultant (Registered Nurse) · Houston, TX 77098 · NPI 1881562528

38%of Medicare

BCBSTX pays Toni Covarrubias $36.26 for a 99213 — Office visit, established patient, low complexity. Medicare pays $96.33 for the same service in this locality. Commercial insurance is widely assumed to pay above Medicare.

Negotiated rates vs Medicare

ServiceBCBSTXMedicare% of MedicareAmong Houston lactation consultant (registered nurse)s
99213Office visit, established patient, low complexity$36.26$96.3338%

above 0% of 11 Houston lactation consultant (registered nurse)s

99214Office visit, established patient, moderate complexity$55.89$137.4141%

above 0% of 11 Houston lactation consultant (registered nurse)s

Source. Blue Cross Blue Shield of Texas machine-readable file, June 2026, 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.

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; falls back to all Houston clinicians where the specialty cohort is under ten.

Built 2026-09-03 · PayerParity