go back

Diabetes Prevention Group Program Session

Oregon 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?

$52.48

Typical negotiated rate. In Oregon, October 2026.

Insurers have agreed to pay about $52.48 for this service. The price depends on where it is billed: about $52.48 from a physician practice, and about $54.95 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$52.48$37.15 to $57.54
FacilityA hospital or hospital-owned outpatient department$54.95$43.65 to $67.61

How much rates vary

Facilitymedian $55 · 10th to 90th $39 to $107Professionalmedian $52 · 10th to 90th $37 to $58
$50$100facility $55professional $52

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
Professional
Modifier
None
Typical Low
$37.15
Median
$37.15
Typical High
$37.15
Cigna
Setting
Professional
Modifier
None
Typical Low
$23.44
Median
$33.88
Typical High
$173.78
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$52.48
Median
$69.18
Typical High
$91.20
Moda Health
Setting
Facility
Modifier
None
Typical Low
$37.15
Median
$37.15
Typical High
$53.70
Moda Health
Setting
Professional
Modifier
None
Typical Low
$37.15
Median
$37.15
Typical High
$37.15
Pacific Source
Setting
Facility
Modifier
None
Typical Low
$39.81
Median
$54.95
Typical High
$67.61
Providence
Setting
Facility
Modifier
None
Typical Low
$38.90
Median
$38.90
Typical High
$54.95
Providence
Setting
Professional
Modifier
None
Typical Low
$33.88
Median
$69.18
Typical High
$79.43
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$70.79
Median
$117.49
Typical High
$144.54
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$52.48
Median
$53.70
Typical High
$57.54
United
Setting
Professional
Modifier
None
Typical Low
$48.98
Median
$64.57
Typical High
$107.15

Where Oregon 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.

Oregon· 5th of 51

$52.48

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.