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What insurers list for NPs in Ohio
Reduced practice · AANPListed rates from insurer price files · 2026 Q4
That's 79% of what Medicare pays an NP in Ohio. Based on 2,043 NP billing groups.
Typical = the middle of 8 insurers' typical rates, one vote per insurer.
Insurer by insurer
Listed rates from insurer files, not amounts paid · 2026 Q4. Highest first. Only insurers with 5 or more solo NP billing groups for this visit. "Top 25% get" needs 10+ groups.
| Insurer | Typical rate | Top 25% get | Based on | |
|---|---|---|---|---|
| Optum Behavioral Health | $152.95 | $152.95 same | 105 groups | Check mine → |
| Oscar Health | $152.95 | $152.95 same | 287 groups | Check mine → |
| Ambetter | $138.34 | $193.68 | 267 groups | Check mine → |
| SummaCare | $129.63 | $136.42 | 100 groups | Check mine → |
| Cigna | $116.71 | $116.71 same | 306 groups | Check mine → |
| UnitedHealthcare | $106.71 | $119.31 | 128 groups | Check mine → |
| Anthem BCBS | $106.25 | $106.25 same | 446 groups | Check mine → |
| Aetna (CVS Health) | $104.78 | $104.78 same | 404 groups | Check mine → |
| MedicarePublic | $156.78 | CMS 2026, NP rate | ||
| MedicaidPublic | $95.01 | State fee schedule, NP |
Large organizations are listed 23% higher than solo NPs
| Solo NP practice You? | $123.17 | 2,043 groups |
| NP-only group | $123.17 | 456 groups |
| NP + physician group | $126.21 | 5,055 groups |
| Large organization | $151.18 | 1,801 groups |
Platforms in Ohio
See every platform's listed rates → Some platforms now charge a per-session fee. Estimate what it costs you →
What platforms pay NPs in Ohio
From NPs' own reports, anonymous. A platform's median shows once 5 NPs report it.
No NP has reported platform pay for Ohio yet for this visit. Be the first.
Paid through a platform? Add what you get for one 99215 visit. About 30 seconds, no sign-up. See where you stand right away.Need a collaborating physician?
Ohio requires a physician agreement. State law requires a career-long collaborative agreement, or limits at least one element of NP practice.
Most NPs pay $499–$599 a month for collaboration. At $83.65 a 99214 in Ohio, that is about 6–7 visits a month.
NP Collaborator matches NPs with collaborating physicians in every state that requires one.
Talk to NP CollaboratorSee if collaboration pays for youFee range from NP Collaborator's Fair Price for Collaboration Report (2,000+ contracts). Visit rate: listed rates across all insurers.
See the full picture for Ohio
- What the top 25% of NP groups get from each insurer, your negotiation target
- Who gets paid more: solo vs group vs large organizations
- A free dashboard to save your rates and track your insurer requests
Every typical rate, Medicare, Medicaid, the offer check and the letter stay free without signing up.
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Full detail for Ohio
Practice types, every visit code, each insurer by practice type and NP-owned vs physician-led billing.Show full detail
Full detail for Ohio
By practice type · 99215 Follow-up visit, complex
All insurers together. Groups differ in more than practice type; this is a comparison of listed rates, not a promise.
| Practice type | Typical rate | Based on |
|---|---|---|
| Solo NP practice | $123.17 | 2,043 groups |
| NP-only group | $123.17 | 456 groups |
| NP + physician group | $126.21 | 5,055 groups |
| Large organization | $151.18 | 1,801 groups |
| Physician group | $127.75 | 1,516 groups |
Every visit code
Solo NP typical rate across insurers, next to Medicare 2026 and Ohio Medicaid NP rates.
| Visit | Solo NP typical | Medicare | Medicaid |
|---|---|---|---|
| 99214 Follow-up visit, moderate | $83.65 | $110.36 | $70.11 |
| 99213 Follow-up visit, simpler | $58.26 | $77.32 | $46.23 |
| 99215 Follow-up visit, complex | $123.17 | $156.78 | $95.01 |
| 99204 New patient visit | $127.04 | $144.71 | $93.36 |
| 99205 New patient visit, complex | $167.62 | $193.39 | $117.31 |
| 90792 Psychiatric intake (evaluation) | $156.23 | $167.55 | $130.20 |
| 90833 Therapy add-on, 30 min | $59.16 | $67.66 | $58.96 |
| 90836 Therapy add-on, 45 min | $71.67 | — | $74.90 |
| 90837 Therapy, 60 min | $123.06 | — | $108.57 |
| G2211 Ongoing-care add-on | $14.25 | $14.35 | — |
Insurer by practice type
Each insurer's typical rate for 99215. Cells need 5+ billing groups. Tap an insurer for every code.
| Insurer | Solo NP practice | NP-only group | NP + physician group | Large organization |
|---|---|---|---|---|
| Optum Behavioral Health | $152.95 | $152.95 | $152.95 | $152.95 |
| Oscar Health | $152.95 | $152.95 | $152.95 | $152.95 |
| Ambetter | $138.34 | $138.34 | $184.45 | $184.45 |
| SummaCare | $129.63 | $129.63 | $129.63 | $149.41 |
| Cigna | $116.71 | $116.71 | $116.71 | $117.75 |
| UnitedHealthcare | $106.71 | $106.71 | $122.78 | $192.02 |
| Anthem BCBS | $106.25 | $106.25 | $106.25 | $125.00 |
| Aetna (CVS Health) | $104.78 | $104.78 | $104.78 | $130.51 |
NP-owned vs physician-led billing
Who owns the billing group, by insurer, for 99215 (number of groups in brackets). It varies by insurer: in some, NP-owned groups list lower; in others, higher.
| Insurer | NP-owned | Physician-led | Difference |
|---|---|---|---|
| Aetna (CVS Health) | $104.78 (644) | $104.78 (799) | 0% |
| Ambetter | $138.34 (483) | $184.45 (803) | -25% |
| Anthem BCBS | $106.25 (793) | $106.25 (1,748) | 0% |
| Cigna | $116.71 (509) | $116.71 (270) | 0% |
| Optum Behavioral Health | $152.95 (196) | $152.95 (251) | 0% |
| Oscar Health | $152.95 (542) | $152.95 (376) | 0% |
| SummaCare | $129.63 (142) | $129.63 (497) | 0% |
| UnitedHealthcare | $106.71 (162) | $122.78 (323) | -13% |
More: all 25 states · 99214 in every state · 90792 in every state · guides