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Diabetes Prevention Group Program Session

Kentucky 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?

$18.20

Typical negotiated rate. In Kentucky, October 2026.

Insurers have agreed to pay about $18.20 for this service. The price depends on where it is billed: about $18.20 from a physician practice, and about $31.62 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$18.20$12.88 to $26.30
FacilityA hospital or hospital-owned outpatient department$31.62$26.30 to $58.88

How much rates vary

Facilitymedian $32 · 10th to 90th $15 to $724Professionalmedian $18 · 10th to 90th $11 to $32
$20$50$100$200$500$1Kfacility $32professional $18

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
$15.49
Median
$26.30
Typical High
$31.62
Aetna
Setting
Professional
Modifier
None
Typical Low
$20.89
Median
$29.51
Typical High
$31.62
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$11.48
Median
$18.20
Typical High
$24.55
CareSource
Setting
Facility
Modifier
None
Typical Low
$36.31
Median
$549.54
Typical High
$1,148.15
CareSource
Setting
Professional
Modifier
None
Typical Low
$28.84
Median
$45.71
Typical High
$812.83
Cigna
Setting
Facility
Modifier
None
Typical Low
$58.88
Median
$58.88
Typical High
$58.88
Cigna
Setting
Professional
Modifier
None
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
Molina
Setting
Professional
Modifier
None
Typical Low
$44.67
Median
$44.67
Typical High
$44.67
United
Setting
Professional
Modifier
None
Typical Low
$28.84
Median
$33.11
Typical High
$63.10

Where Kentucky 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.

Kentucky· 43rd of 51

$18.20

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.