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Diabetes Prevention Group Program Session

Washington, DC 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?

$25.70

Typical physician fee. In Washington, DC, October 2026.

Insurers have agreed to pay about $25.70 for this service. Most negotiated rates run $25.70 to $37.15.

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.

How much rates vary

Facilitymedian $37 · 10th to 90th $37 to $37Professionalmedian $26 · 10th to 90th $26 to $37
$20$50facility $37professional $26

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$37.15
Median
$37.15
Typical High
$37.15
Aetna
Setting
Professional
Modifier
None
Typical Low
$31.62
Median
$37.15
Typical High
$37.15
CareFirst
Setting
Professional
Modifier
None
Typical Low
$25.70
Median
$25.70
Typical High
$25.70
Cigna
Setting
Professional
Modifier
None
Typical Low
$20.42
Median
$25.70
Typical High
$52.48
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$26.92
Median
$33.11
Typical High
$75.86
United
Setting
Professional
Modifier
None
Typical Low
$21.38
Median
$30.90
Typical High
$72.44

Where Washington, DC 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.

Washington, DC· 33rd of 51

$25.70

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.