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Diabetes Prevention Group Program Session

Arizona rates for HCPCS 0403T

A structured group session from a standardized program designed to prevent type 2 diabetes in people at high risk. A trained coach leads the group through eating patterns, physical activity and the practical habits that support weight loss and steadier blood sugar. Sessions are part of a course that runs over months rather than a single visit.

Rates data updated October 2026.

How much does Diabetes Prevention Group Program Session cost?

$63.10

Typical negotiated rate. In Arizona, October 2026.

Insurers have agreed to pay about $63.10 for this service. The price depends on where it is billed: about $63.10 from a physician practice, and about $200 from a hospital or other facility.

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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$63.10$51.29 to $81.28
FacilityA hospital or hospital-owned outpatient department$200$93.33 to $468

How much rates vary

Facilitymedian $200 · 10th to 90th $56 to $631Professionalmedian $63 · 10th to 90th $36 to $102
$20$50$100$200$500facility $200professional $63

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$51.29
Median
$51.29
Typical High
$51.29
Aetna
Setting
Professional
Modifier
None
Typical Low
$32.36
Median
$51.29
Typical High
$51.29
BCBS Arizona
Setting
Facility
Modifier
None
Typical Low
$93.33
Median
$323.59
Typical High
$630.96
BCBS Arizona
Setting
Professional
Modifier
None
Typical Low
$63.10
Median
$70.79
Typical High
$102.33
Cigna
Setting
Professional
Modifier
None
Typical Low
$20.42
Median
$29.51
Typical High
$33.88
Medica
Setting
Facility
Modifier
None
Typical Low
$51.29
Median
$51.29
Typical High
$85.11
Medica
Setting
Professional
Modifier
None
Typical Low
$29.51
Median
$199.53
Typical High
$199.53
United
Setting
Professional
Modifier
None
Typical Low
$28.84
Median
$32.36
Typical High
$53.70

Where Arizona sits

The same service costs 5.8 times more in Nebraska than in Vermont. 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.

Arizona· 3rd of 51

$63.10

NE $89.13VT $15.49

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.