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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 October 2026.

How much does Diabetes Prevention Group Program Session cost?

$15.49

Typical physician fee. In New Jersey, October 2026.

Insurers have agreed to pay about $15.49 for this service. Most negotiated rates run $15.49 to $22.91.

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 $15 · 10th to 90th $15 to $30
$20$50facility $15professional $15

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
$15.49
Median
$15.49
Typical High
$15.49
Aetna
Setting
Professional
Modifier
None
Typical Low
$15.49
Median
$15.49
Typical High
$15.49
Cigna
Setting
Professional
Modifier
None
Typical Low
$20.42
Median
$25.12
Typical High
$173.78
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$18.62
Median
$35.48
Typical High
$35.48
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$22.91
Median
$26.92
Typical High
$39.81
United
Setting
Professional
Modifier
None
Typical Low
$19.95
Median
$28.84
Typical High
$47.86

Where New Jersey 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.

New Jersey· 46th of 51

$15.49

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.