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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 July 2026.

How much does Diabetes Prevention Group Program Session cost?

$30.90

Typical negotiated rate. In Arizona, July 2026.

Insurers have agreed to pay about $30.90 for this service. The price depends on where it is billed: about $30.90 from a physician practice, and about $51.29 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 5 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$30.90$19.95 to $33.88
FacilityA hospital or hospital-owned outpatient department$51.29$31.62 to $57.54

How much rates vary

Facilitymedian $51 · 10th to 90th $19 to $102Professionalmedian $31 · 10th to 90th $15 to $51
$20.0$50.0$100.0$200.0facility $51professional $31

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
$51.29
Median
$51.29
Typical High
$51.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$30.90
Typical High
$38.02
BCBS
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$104.71
Typical High
$114.82
BCBS
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$93.33
Typical High
$128.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$58.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$25.12
Typical High
$33.88
Medica
Setting
Facility
Modifier
Global
Typical Low
$15.49
Median
$38.02
Typical High
$67.61
Medica
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$40.74
Typical High
$199.53
United
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$50.12
Typical High
$107.15
United
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$34.67
Typical High
$61.66

Where Arizona sits

The same service costs 2.1 times more in Montana than in Minnesota. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Arizona $30.90 · 17th of 51
MT $32.36MN $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.