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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 October 2026.

How much does Diabetes Prevention Group Program Session cost?

$30.20

Typical physician fee. In Ohio, October 2026.

Insurers have agreed to pay about $30.20 for this service. Most negotiated rates run $22.91 to $31.62.

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 $79Professionalmedian $30 · 10th to 90th $23 to $35
$20$50facility $32professional $30

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
$31.62
Median
$31.62
Typical High
$79.43
Aetna
Setting
Professional
Modifier
None
Typical Low
$31.62
Median
$31.62
Typical High
$31.62
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$22.91
Median
$24.55
Typical High
$33.88
CareSource
Setting
Facility
Modifier
None
Typical Low
$28.18
Median
$28.18
Typical High
$28.18
CareSource
Setting
Professional
Modifier
None
Typical Low
$42.66
Median
$562.34
Typical High
$1,000.00
Cigna
Setting
Professional
Modifier
None
Typical Low
$20.42
Median
$25.70
Typical High
$173.78
Medical Mutual of Ohio
Setting
Professional
Modifier
None
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
Molina
Setting
Professional
Modifier
None
Typical Low
$21.38
Median
$25.12
Typical High
$25.12
SummaCare
Setting
Professional
Modifier
None
Typical Low
$50.12
Median
$60.26
Typical High
$70.79
United
Setting
Professional
Modifier
None
Typical Low
$26.92
Median
$32.36
Typical High
$72.44

Where Ohio 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.

Ohio· 24th of 51

$30.20

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.