go back

Diabetes Prevention Group Program Session

Missouri 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?

$32.36

Typical physician fee. In Missouri, July 2026.

Insurers have agreed to pay about $32.36 for this service. Most negotiated rates run $20.89 to $60.26.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $34 · 10th to 90th $20 to $71Professionalmedian $32 · 10th to 90th $15 to $74
$10.0$20.0$50.0$100.0$200.0facility $34professional $32

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
Professional
Modifier
Global
Typical Low
$15.49
Median
$29.51
Typical High
$33.88
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$67.61
Typical High
$89.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$24.55
Typical High
$29.51
Medica
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$33.88
Typical High
$70.79
Medica
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$91.20
Typical High
$199.53
United
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
United
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$74.13
Typical High
$134.90

Where Missouri 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.

Missouri $32.36 · 4th 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.