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Diabetes Prevention Group Program Session

Ohio 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?

$30.90

Typical physician fee. In Ohio, July 2026.

Insurers have agreed to pay about $30.90 for this service. Most negotiated rates run $23.99 to $33.11.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $32 · 10th to 90th $32 to $72Professionalmedian $31 · 10th to 90th $15 to $43
$10.0$100.0$1.0K$10.0Kfacility $32professional $31

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
$31.62
Median
$31.62
Typical High
$31.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$30.20
Typical High
$36.31
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$34.67
Typical High
$60.26
CareSource
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$33.11
Typical High
$41,686.94
CareSource
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$562.34
Typical High
$1,000.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$25.70
Typical High
$29.51
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$154.88
Molina
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$25.12
Typical High
$32.36
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$60.26
Typical High
$75.86
United
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$34.67
Typical High
$70.79

Where Ohio 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.

Ohio $30.90 · 15th 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.