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Diabetes Prevention Group Program Session

California 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?

$30.20

Typical negotiated rate. In California, July 2026.

Insurers have agreed to pay about $30.20 for this service. The price depends on where it is billed: about $30.20 from a physician practice, and about $30.90 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$30.20$15.49 to $33.11
FacilityA hospital or hospital-owned outpatient department$30.90$17.78 to $41.69

How much rates vary

Facilitymedian $31 · 10th to 90th $15 to $62Professionalmedian $30 · 10th to 90th $15 to $40
$10.0$20.0$50.0$100.0$200.0$500.0facility $31professional $30

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
$15.49
Median
$15.49
Typical High
$15.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$28.18
Typical High
$33.88
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$31.62
Typical High
$63.10
Blue Shield
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$25.70
Typical High
$41.69
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$831.76
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$295.12
Typical High
$295.12
Providence
Setting
Facility
Modifier
Global
Typical Low
$15.49
Median
$30.90
Typical High
$57.54
Providence
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$41.69
Typical High
$79.43
United
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$38.02
Typical High
$38.02
United
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$33.88
Typical High
$83.18

Where California 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.

California $30.20 · 26th 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.