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Diabetes Prevention Group Program Session

New York 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?

$33.88

Typical negotiated rate. In New York, October 2026.

Insurers have agreed to pay about $33.88 for this service. The price depends on where it is billed: about $33.88 from a physician practice, and about $19.05 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$33.88$29.51 to $39.81
FacilityA hospital or hospital-owned outpatient department$19.05$17.38 to $33.11

How much rates vary

Facilitymedian $19 · 10th to 90th $16 to $59Professionalmedian $34 · 10th to 90th $15 to $43
$10$20$50facility $19professional $34

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
$15.49
Median
$15.49
Typical High
$22.39
Aetna
Setting
Professional
Modifier
None
Typical Low
$15.49
Median
$15.49
Typical High
$22.39
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$37.15
Typical High
$42.66
Cigna
Setting
Facility
Modifier
None
Typical Low
$58.88
Median
$58.88
Typical High
$58.88
Cigna
Setting
Professional
Modifier
None
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
Emblem Health
Setting
Facility
Modifier
None
Typical Low
$18.20
Median
$30.20
Typical High
$70.79
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$18.62
Median
$18.62
Typical High
$18.62
Excellus BCBS
Setting
Facility
Modifier
None
Typical Low
$17.38
Median
$17.38
Typical High
$17.38
Excellus BCBS
Setting
Professional
Modifier
None
Typical Low
$5.89
Median
$18.20
Typical High
$23.44
United
Setting
Professional
Modifier
None
Typical Low
$15.49
Median
$20.42
Typical High
$45.71
Univera
Setting
Facility
Modifier
None
Typical Low
$12.02
Median
$15.85
Typical High
$18.62
Univera
Setting
Professional
Modifier
None
Typical Low
$5.89
Median
$18.20
Typical High
$23.44

Where New York 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 York· 14th of 51

$33.88

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.