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Diabetes Prevention Group Program Session

South Carolina 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?

$30.20

Typical physician fee. In South Carolina, July 2026.

Insurers have agreed to pay about $30.20 for this service. Most negotiated rates run $19.95 to $32.36.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $31 · 10th to 90th $15 to $48Professionalmedian $30 · 10th to 90th $15 to $35
$20.0$50.0$100.0facility $31professional $30

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
Professional
Modifier
Global
Typical Low
$15.49
Median
$30.20
Typical High
$33.88
Medcost
Setting
Facility
Modifier
Global
Typical Low
$15.49
Median
$30.90
Typical High
$47.86
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
United
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$33.88
Typical High
$53.70

Where South Carolina 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.

South Carolina $30.20 · 28th 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.