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Diabetes Prevention Group Program Session

Indiana 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?

$23.99

Typical negotiated rate. In Indiana, October 2026.

Insurers have agreed to pay about $23.99 for this service. The price depends on where it is billed: about $23.99 from a physician practice, and about $912 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$23.99$22.39 to $29.51
FacilityA hospital or hospital-owned outpatient department$912$31.62 to $955

How much rates vary

Facilitymedian $912 · 10th to 90th $22 to $2,138Professionalmedian $24 · 10th to 90th $21 to $31
$20$50$100$200$500$1K$2Kfacility $912professional $24

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
$22.39
Median
$22.39
Typical High
$31.62
Aetna
Setting
Professional
Modifier
None
Typical Low
$19.95
Median
$22.39
Typical High
$30.90
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$29.51
Median
$29.51
Typical High
$57.54
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$23.99
Median
$23.99
Typical High
$29.51
CareSource
Setting
Facility
Modifier
None
Typical Low
$35.48
Median
$524.81
Typical High
$794.33
Cigna
Setting
Professional
Modifier
None
Typical Low
$25.12
Median
$38.90
Typical High
$38.90
Physicians Health Plan of Northern Indiana
Setting
Facility
Modifier
None
Typical Low
$912.01
Median
$954.99
Typical High
$2,187.76
Physicians Health Plan of Northern Indiana
Setting
Professional
Modifier
None
Typical Low
$43.65
Median
$56.23
Typical High
$81.28
United
Setting
Professional
Modifier
None
Typical Low
$20.89
Median
$67.61
Typical High
$109.65

Where Indiana 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.

Indiana· 36th of 51

$23.99

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.