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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 October 2026.

How much does Diabetes Prevention Group Program Session cost?

$67.61

Typical physician fee. In Missouri, October 2026.

Insurers have agreed to pay about $67.61 for this service. Most negotiated rates run $63.10 to $70.79.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $69 · 10th to 90th $32 to $151Professionalmedian $68 · 10th to 90th $32 to $123
$20$50$100$200facility $69professional $68

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$20.89
Median
$20.89
Typical High
$41.69
Aetna
Setting
Professional
Modifier
None
Typical Low
$20.89
Median
$20.89
Typical High
$41.69
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$63.10
Median
$69.18
Typical High
$79.43
Medica
Setting
Facility
Modifier
None
Typical Low
$32.36
Median
$75.86
Typical High
$151.36
Medica
Setting
Professional
Modifier
None
Typical Low
$69.18
Median
$199.53
Typical High
$199.53
United
Setting
Professional
Modifier
None
Typical Low
$30.90
Median
$81.28
Typical High
$162.18

Where Missouri 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.

Missouri· 2nd of 51

$67.61

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.