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Diabetes Prevention Group Program Session

Michigan 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?

$32.36

Typical negotiated rate. In Michigan, October 2026.

Insurers have agreed to pay about $32.36 for this service. The price depends on where it is billed: about $32.36 from a physician practice, and about $174 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$32.36$25.70 to $58.88
FacilityA hospital or hospital-owned outpatient department$174$33.11 to $200

How much rates vary

Facilitymedian $174 · 10th to 90th $26 to $204Professionalmedian $32 · 10th to 90th $26 to $69
$50$100$200facility $174professional $32

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
$25.70
Median
$25.70
Typical High
$33.11
Aetna
Setting
Professional
Modifier
None
Typical Low
$25.70
Median
$25.70
Typical High
$25.70
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$58.88
Median
$58.88
Typical High
$58.88
BCBS Michigan
Setting
Professional
Modifier
None
Typical Low
$56.23
Median
$58.88
Typical High
$63.10
Cigna
Setting
Professional
Modifier
None
Typical Low
$20.42
Median
$25.12
Typical High
$46.77
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$32.36
Median
$186.21
Typical High
$204.17
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$32.36
Median
$32.36
Typical High
$75.86
Priority Health
Setting
Professional
Modifier
None
Typical Low
$20.42
Median
$23.44
Typical High
$46.77
United
Setting
Professional
Modifier
None
Typical Low
$33.88
Median
$72.44
Typical High
$87.10

Where Michigan 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.

Michigan· 19th of 51

$32.36

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.