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Diabetes Prevention Group Program Session

Idaho 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?

$34.67

Typical negotiated rate. In Idaho, October 2026.

Insurers have agreed to pay about $34.67 for this service. The price depends on where it is billed: about $34.67 from a physician practice, and about $50.12 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 9 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$34.67$28.84 to $50.12
FacilityA hospital or hospital-owned outpatient department$50.12$41.69 to $67.61

How much rates vary

Facilitymedian $50 · 10th to 90th $29 to $79Professionalmedian $35 · 10th to 90th $29 to $50
$10$20$50facility $50professional $35

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
$33.11
Median
$33.11
Typical High
$33.11
Aetna
Setting
Professional
Modifier
None
Typical Low
$28.84
Median
$28.84
Typical High
$33.88
BCBS Idaho
Setting
Facility
Modifier
None
Typical Low
$41.69
Median
$53.70
Typical High
$79.43
BCBS Idaho
Setting
Professional
Modifier
None
Typical Low
$50.12
Median
$50.12
Typical High
$50.12
Cigna
Setting
Professional
Modifier
None
Typical Low
$20.42
Median
$29.51
Typical High
$52.48
Moda Health
Setting
Facility
Modifier
None
Typical Low
$23.44
Median
$28.84
Typical High
$41.69
Moda Health
Setting
Professional
Modifier
None
Typical Low
$28.84
Median
$28.84
Typical High
$33.88
Molina
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$57.54
Median
$57.54
Typical High
$57.54
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$8.32
Median
$9.33
Typical High
$61.66
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$50.12
Median
$53.70
Typical High
$79.43
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$50.12
Median
$50.12
Typical High
$50.12
Select Health
Setting
Professional
Modifier
None
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$8,511.38
United
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$41.69
Typical High
$58.88

Where Idaho 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.

Idaho· 12th of 51

$34.67

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.