Reviewed the same day by Texas-licensed clinicians

Tailbone pain care online in Texas

Pain at the base of your spine when you sit or stand up? A clinician reviews your symptoms and plans ways to ease the pressure.

Insurance or a flat cash priceYour pharmacy, your choiceIn-person care if needed: our DFW clinics, or near you
Online evaluation
Same-day review24/7 weekdays · 7 AM–9 PM CT weekends
Short answer

Can I get online care for tailbone pain in Texas?

Yes, for adults 18 and older in Texas. Pain at the base of your spine when you sit or stand up? A clinician reviews your symptoms and plans ways to ease the pressure. Review is by a Texas-licensed Passion Health clinician, 24/7 on weekdays and 7 AM–9 PM CT on weekends. The flat price is $59, or use insurance. A prescription goes to the pharmacy you choose only if it's appropriate; controlled medicines are never prescribed online. If you have fever with tailbone pain, you need to be seen in person today instead (at our Dallas–Fort Worth clinics, or urgent care near you), and you don't pay the online fee.

Medically reviewed by Dr. Anantha Chentha, MD, Chief Quality Medical Officer, Passion Health · October 22, 2026

Price
$59 flat cash rate or insurance
Visit type
Online evaluation
Reviewed by
A Texas-licensed Passion Health physician, nurse practitioner or physician assistant
Turnaround
Same day · 24/7 weekdays, 7 AM–9 PM CT weekends
Insurance
BCBS of Texas, Aetna, UnitedHealthcare, Cigna, Humana, Healthcare Highways
Prescriptions
Only if appropriate, sent to your pharmacy · never controlled medicines online
About the condition

What to know about tailbone pain

Tailbone pain, or coccydynia, is pain at the very bottom of your spine, just above the buttocks. It's often worse when sitting, leaning back or standing up from a chair. Common causes are a fall onto your bottom, long hours sitting on hard surfaces, cycling and childbirth. It's more common in women and usually improves within weeks to months.

Before you start

Is online care right for you?

A good fit for online care

  • Pain at the very bottom of your spine that's worse when you sit
  • Pain after a fall onto your bottom, once you can sit and walk
  • Tailbone pain after childbirth
  • Pain from long hours of sitting or cycling

Book an in-person visit instead if

  • A painful, swollen lump near the top of the buttock crease, especially if it's red, warm or draining Same day
  • Fever with tailbone pain Same day
  • Severe pain after a hard fall that keeps you from sitting or walking Same day
  • More than a streak of blood from your bottom Same day
  • A change in your bowel habits that has lasted more than a few weeks Within days

Not near one of our clinics? Online Care is open to adults anywhere in Texas; our clinics are in Dallas–Fort Worth. If the safety questions or your clinician show you need to be examined, we tell you what kind of care you need and how soon — an emergency room, an urgent care center, or a clinician near you. If you've already paid, the full fee is refunded and you get a written summary of your visit to take with you.

Call 911 or go to the ER now if you have

Emergency room now

  • Numbness in your groin or buttocks, or new trouble controlling your bladder or bowels
  • Black, tarry or maroon stools, or heavy bleeding from your bottom

Also call 911 for chest pain, trouble breathing, stroke signs, a sudden severe headache, fainting, a seizure, severe bleeding, new confusion, throat swelling, an overdose or thoughts of harming someone else — and call or text 988 for thoughts of harming yourself. If screening routes you before you pay, nothing is charged. If a clinician routes you after you've paid, the full fee is refunded.

How it works

How your tailbone pain visit works

  1. 1
    Answer the tailbone pain intake

    About 5 minutes, with photos if they help. Emergency and safety questions come first.

  2. 2
    A clinician reviews it the same day

    A Texas-licensed Passion Health clinician reads everything and calls or videos you if they need more.

  3. 3
    You get a plan

    If treatment is appropriate, a prescription goes to the pharmacy you choose.

  4. 4
    Follow-up is built in

    A 48-hour check-in and secure messaging. If you need to be seen, a same-day visit at our Dallas–Fort Worth clinics, or clear advice on where to go near you.

Your care

What to expect from your clinician

What your clinician may consider

  • Questions about how it started, how long you sit, and any bowel symptoms
  • A wedge or cut-out cushion, and leaning forward when you sit to take pressure off the tailbone
  • Heat or ice and an anti-inflammatory, if appropriate
  • Softening your stools if bowel movements hurt
  • An X-ray, pelvic floor physical therapy, or a referral to discuss an injection if pain lasts beyond a few months

Shown so you know what to expect. The reviewing clinician decides what, if anything, is appropriate for you — a prescription is never guaranteed, and controlled medicines are never prescribed online.

Price & insurance

How much does an online tailbone pain visit cost?

Quick evaluation
$59
  • A Texas-licensed clinician reviews your intake
  • A care plan, and a prescription if appropriate
  • 48-hour check-in
  • 14 days of secure messaging

Using insurance: we're in network with BCBS of Texas, Aetna, UnitedHealthcare, Cigna, Humana and Healthcare Highways, and we verify eligibility for every plan before review — you see your estimated cost-share first. New patients have a short video visit, because plans pay for a visit, not a form. Same-day review applies to self-pay visits; insurance visits begin once we've verified your plan, which is the next business morning if you submit overnight or on a weekend. Medicare, Medicaid, CHIP and TRICARE are billed to the program, and the cash rate isn't offered for covered services.

Full refund if your case isn't accepted: if the clinician doesn't accept your case for online care, for any reason, the full fee is refunded to your card within 10 business days, and we help you get the care you need: a same-day visit at one of our Dallas–Fort Worth clinics or, if you're not near one, clear advice on where to be seen and a written summary of your visit. With insurance, no claim is submitted for the online review. Paying the flat price yourself? You can ask for a written Good Faith Estimate before your visit.

Labs and imaging, if needed, are billed separately, and medication is paid at your pharmacy. Passion Health doesn't sell, ship or mark up medication.

Follow-up

A 48-hour check-in message and 14 days of secure messaging. If you're not improving, we book a same-day clinic visit, or, if you're not near one of our clinics, tell you where to be seen near you.

Questions

Questions about tailbone pain care

How much does an online tailbone pain visit cost?

The flat cash rate is $59 for a quick evaluation, or use your insurance and pay your plan's cost-share — we show you an estimate before review starts. Medication is paid at your pharmacy. If the clinician doesn't accept your case for online care, for any reason, the full fee is refunded to your card.

Will I talk to someone, or is it just a form?

A Texas-licensed Passion Health clinician reviews every intake and decides your plan — not software. For tailbone pain, Texas law lets the clinician evaluate you from a condition-specific intake plus your photos and records, and they'll call or video you whenever something needs a conversation. New patients using insurance have a short video visit, because plans pay for a visit, not a form.

Is a prescription guaranteed?

No. You're paying for a licensed clinician's evaluation and plan. Many visits end with a prescription; some end with a different plan, a test, or a referral. Controlled medicines — stimulants, benzodiazepines, opioids, testosterone, sleep aids like zolpidem — are never prescribed at an online visit.

How long does tailbone pain last?

Most tailbone pain improves within weeks to a few months with a cushion, changes to how you sit, and pain relief. Pain after a fall or childbirth usually settles as the area heals. If it lasts beyond a few months, options include pelvic floor physical therapy, an injection, or a specialist referral, which your clinician can discuss with you.

Do I need an X-ray for tailbone pain?

Often not. Even when the tailbone is bruised or cracked, treatment is usually the same: a cushion, avoiding long periods of sitting, and pain relief. Your clinician may suggest an X-ray if the pain is severe, followed a hard fall, or isn't improving after several weeks of home care.

The Texas law behind this visit

A clinician may form a valid patient relationship online using store-and-forward technology — your condition-specific intake, photos and records — paired with a call or video when needed, as long as the in-person standard of care is met (Tex. Occ. Code §111.005(a)(3), §111.007). Your clinician gives you guidance on follow-up care and, with your consent, sends new patients' visit notes to their primary care physician within 72 hours (§111.005(b)).

Full Texas-law summary →

AC
Medical reviewer

Dr. Anantha Chentha, MD, FACP, CHCQM-PHY ADV

Chief Quality Medical Officer, Passion Health · Texas-licensed internal medicine physician

Reviewed October 22, 2026

Reviewed for medical accuracy by Dr. Anantha Chentha, MD, Chief Quality Medical Officer, Passion Health, on October 22, 2026. Pages are reviewed again when clinical guidance or our visit rules change, and the date shown here is updated each time.

Sources: AAFP · AAOS

Not sure online care is right for you?

Book a same-day visit at a Passion Health clinic in Dallas–Fort Worth, or call and we'll point you to the right visit — or, elsewhere in Texas, to the right kind of care near you.

☎ Call