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Insulin for Administration Through DME (Insulin Pump)

Ohio rates for HCPCS J1817 · Novolog, Admelog, Humalog

Insulin for administration through DME (i.e., insulin pump) per 50 units

Rates data updated July 2026.

How much does Insulin for Administration Through DME (Insulin Pump) cost?

$3.39

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $3.39 for this service. The price depends on where it is billed: about $3.16 from a physician practice, and about $6.76 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$3.16$3.16 to $3.98
FacilityA hospital or hospital-owned outpatient department$6.76$3.98 to $8.71

How much rates vary

Facilitymedian $7 · 10th to 90th $3 to $11Professionalmedian $3 · 10th to 90th $3 to $5
$2$5$10$20facility $7professional $3

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$3.16
Median
$6.76
Typical High
$11.48
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.16
Median
$3.16
Typical High
$6.76
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3.39
Median
$6.76
Typical High
$20.42
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.16
Median
$3.24
Typical High
$5.50
CareSource
Setting
Facility
Modifier
Global
Typical Low
$2.40
Median
$3.16
Typical High
$3.16
CareSource
Setting
Professional
Modifier
Global
Typical Low
$2.88
Median
$3.16
Typical High
$4.27
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4.47
Median
$6.17
Typical High
$10.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.16
Median
$3.16
Typical High
$6.31
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$3.63
Median
$5.89
Typical High
$9.12
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$3.16
Median
$3.16
Typical High
$5.37
Molina
Setting
Professional
Modifier
Global
Typical Low
$3.16
Median
$3.55
Typical High
$4.57
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$3.16
Median
$5.25
Typical High
$7.24
United
Setting
Facility
Modifier
Global
Typical Low
$1.29
Median
$3.02
Typical High
$6.76
United
Setting
Professional
Modifier
Global
Typical Low
$1.29
Median
$3.24
Typical High
$3.31

Where Ohio sits

The same service costs 2.8 times more in North Carolina than in Georgia. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Ohio· 14th of 51

$3.39

NC $8.71GA $3.16

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.