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Diabetes Prevention Group Program Session

Illinois 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?

$21.88

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $21.88 for this service. The price depends on where it is billed: about $21.88 from a physician practice, and about $19.95 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 7 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$21.88$15.49 to $28.84
FacilityA hospital or hospital-owned outpatient department$19.95$19.95 to $19.95

How much rates vary

Facilitymedian $20 · 10th to 90th $20 to $20Professionalmedian $22 · 10th to 90th $7 to $32
$10.0$20.0$50.0$100.0$200.0facility $20professional $22

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
$19.95
Median
$19.95
Typical High
$19.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$29.51
Typical High
$33.88
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$20.42
Typical High
$20.42
BCBS
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$30.90
Typical High
$30.90
BCBS
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$18.62
Typical High
$27.54
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
$25.70
Typical High
$41.69
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$22.91
Typical High
$39.81
Molina
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$31.62
Typical High
$31.62
United
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$30.20
Typical High
$74.13

Where Illinois 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.

Illinois $21.88 · 49th 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.