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Diabetes Prevention Group Program Session

Tennessee 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?

$29.51

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $29.51 for this service. The price depends on where it is billed: about $29.51 from a physician practice, and about $23.44 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 5 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$29.51$20.89 to $32.36
FacilityA hospital or hospital-owned outpatient department$23.44$23.44 to $50.12

How much rates vary

Facilitymedian $23 · 10th to 90th $21 to $107Professionalmedian $30 · 10th to 90th $15 to $36
$20.0$50.0$100.0$200.0facility $23professional $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
Facility
Modifier
Global
Typical Low
$20.89
Median
$23.44
Typical High
$23.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$29.51
Typical High
$33.11
BCBS
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$37.15
Typical High
$60.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$25.70
Typical High
$41.69
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$295.12
Typical High
$295.12
United
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$50.12
Typical High
$107.15
United
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$37.15
Typical High
$61.66

Where Tennessee 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.

Tennessee $29.51 · 35th 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.