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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 October 2026.

How much does Diabetes Prevention Group Program Session cost?

$29.51

Typical physician fee. In Tennessee, October 2026.

Insurers have agreed to pay about $29.51 for this service. Most negotiated rates run $28.18 to $35.48.

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 $23 · 10th to 90th $23 to $23Professionalmedian $30 · 10th to 90th $23 to $200
$20$50$100$200facility $23professional $30

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
$23.44
Median
$23.44
Typical High
$23.44
Aetna
Setting
Professional
Modifier
None
Typical Low
$20.89
Median
$23.44
Typical High
$30.20
BCBS Tennessee
Setting
Professional
Modifier
None
Typical Low
$28.18
Median
$28.18
Typical High
$31.62
Cigna
Setting
Professional
Modifier
None
Typical Low
$22.39
Median
$25.70
Typical High
$42.66
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$199.53
Median
$199.53
Typical High
$309.03
United
Setting
Professional
Modifier
None
Typical Low
$27.54
Median
$35.48
Typical High
$67.61

Where Tennessee 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.

Tennessee· 26th of 51

$29.51

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.