go back

Diabetes Prevention Group Program Session

North Carolina 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 negotiated rate. In North Carolina, July 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 $30.20 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 7 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$32.36$26.92 to $42.66
FacilityA hospital or hospital-owned outpatient department$30.20$23.99 to $34.67

How much rates vary

Facilitymedian $30 · 10th to 90th $15 to $50Professionalmedian $32 · 10th to 90th $15 to $76
$20.0$50.0$100.0$200.0facility $30professional $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
Facility
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$30.20
Typical High
$36.31
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$41.69
Typical High
$41.69
BCBS
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$42.66
Typical High
$77.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$25.12
Typical High
$173.78
Medcost
Setting
Facility
Modifier
Global
Typical Low
$15.49
Median
$30.20
Typical High
$46.77
United
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$35.48
Typical High
$67.61
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$295.12

Where North Carolina 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.

North Carolina $32.36 · 2nd 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.