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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 July 2026.

How much does Diabetes Prevention Group Program Session cost?

$24.55

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $24.55 for this service. The price depends on where it is billed: about $24.55 from a physician practice, and about $331 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 6 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$24.55$15.49 to $30.90
FacilityA hospital or hospital-owned outpatient department$331$58.88 to $794

How much rates vary

Facilitymedian $331 · 10th to 90th $39 to $12,303Professionalmedian $25 · 10th to 90th $15 to $36
$10.0$100.0$1.0K$10.0Kfacility $331professional $25

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
$15.49
Median
$15.49
Typical High
$72.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$29.51
Typical High
$33.88
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$15.14
Typical High
$33.11
CareSource
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$575.44
Typical High
$45,708.82
CareSource
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$446.68
Typical High
$1,000.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$58.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
Molina
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$44.67
United
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$34.67
Typical High
$72.44

Where Kentucky 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.

Kentucky $24.55 · 45th 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.