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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 July 2026.

How much does Diabetes Prevention Group Program Session cost?

$32.36

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $32.36 for this service. The price depends on where it is billed: about $30.90 from a physician practice, and about $57.54 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$30.90$19.95 to $33.88
FacilityA hospital or hospital-owned outpatient department$57.54$36.31 to $67.61

How much rates vary

Facilitymedian $58 · 10th to 90th $23 to $68Professionalmedian $31 · 10th to 90th $15 to $58
$10.0$20.0$50.0$100.0facility $58professional $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
$37.15
Median
$37.15
Typical High
$37.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$30.20
Typical High
$37.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$41.69
Typical High
$173.78
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$69.18
Typical High
$89.13
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$15.49
Median
$31.62
Typical High
$60.26
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$22.91
Typical High
$22.91
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$67.61
Typical High
$67.61
Providence
Setting
Facility
Modifier
Global
Typical Low
$15.49
Median
$31.62
Typical High
$60.26
Providence
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$47.86
Typical High
$79.43
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$58.88
Typical High
$89.13
United
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$61.66
Typical High
$91.20

Where Oregon 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.

Oregon $32.36 · 3rd 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.