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Diabetes Prevention Group Program Session

Pennsylvania 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?

$23.99

Typical negotiated rate. In Pennsylvania, October 2026.

Insurers have agreed to pay about $23.99 for this service. The price depends on where it is billed: about $23.99 from a physician practice, and about $28.84 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$23.99$23.99 to $28.84
FacilityA hospital or hospital-owned outpatient department$28.84$26.92 to $29.51

How much rates vary

Facilitymedian $29 · 10th to 90th $27 to $30Professionalmedian $24 · 10th to 90th $24 to $29
$20facility $29professional $24

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
$23.99
Median
$28.84
Typical High
$28.84
Aetna
Setting
Professional
Modifier
None
Typical Low
$23.99
Median
$23.99
Typical High
$28.84
Ambetter
Setting
Professional
Modifier
None
Typical Low
$33.88
Median
$33.88
Typical High
$33.88
Capital Blue Cross
Setting
Professional
Modifier
None
Typical Low
$26.92
Median
$26.92
Typical High
$26.92
Cigna
Setting
Professional
Modifier
None
Typical Low
$20.42
Median
$33.88
Typical High
$173.78
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$18.62
Median
$32.36
Typical High
$36.31
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$28.84
Median
$28.84
Typical High
$28.84
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$23.99
Median
$23.99
Typical High
$28.84
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$26.92
Median
$29.51
Typical High
$29.51
UPMC Health Plan
Setting
Professional
Modifier
None
Typical Low
$26.92
Median
$29.51
Typical High
$29.51
United
Setting
Professional
Modifier
None
Typical Low
$22.91
Median
$26.92
Typical High
$50.12

Where Pennsylvania 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.

Pennsylvania· 37th of 51

$23.99

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.