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Diabetes Prevention Group Program Session

New Jersey 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?

$25.12

Typical physician fee. In New Jersey, July 2026.

Insurers have agreed to pay about $25.12 for this service. Most negotiated rates run $15.49 to $32.36.

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 $15 · 10th to 90th $15 to $15Professionalmedian $26 · 10th to 90th $15 to $37
$10.0$20.0$50.0$100.0$200.0facility $15professional $26

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
$15.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$23.99
Typical High
$36.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$25.12
Typical High
$44.67
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$35.48
Typical High
$38.90
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$26.92
Typical High
$50.12
United
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$27.54
Typical High
$47.86

Where New Jersey 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.

New Jersey $25.12 · 43rd 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.