go back

Diabetes Prevention Group Program Session

South Dakota 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?

$30.90

Typical physician fee. In South Dakota, July 2026.

Insurers have agreed to pay about $30.90 for this service. Most negotiated rates run $29.51 to $33.11.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $32 · 10th to 90th $15 to $55Professionalmedian $31 · 10th to 90th $15 to $34
$20.0$50.0$100.0$200.0facility $32professional $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
Professional
Modifier
Global
Typical Low
$15.49
Median
$30.90
Typical High
$33.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$23.44
Typical High
$29.51
Medica
Setting
Facility
Modifier
Global
Typical Low
$15.49
Median
$32.36
Typical High
$54.95
Medica
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$58.88
Typical High
$199.53
Midlands
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$38.02
Typical High
$61.66
United
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$43.65
Typical High
$69.18

Where South Dakota 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 Dakota $30.90 · 13th 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.