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Diabetes Prevention Group Program Session

Texas 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?

$33.11

Typical negotiated rate. In Texas, October 2026.

Insurers have agreed to pay about $33.11 for this service. The price depends on where it is billed: about $33.11 from a physician practice, and about $33.11 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 9 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$33.11$31.62 to $47.86
FacilityA hospital or hospital-owned outpatient department$33.11$32.36 to $33.11

How much rates vary

Facilitymedian $33 · 10th to 90th $31 to $44Professionalmedian $33 · 10th to 90th $31 to $309
$20$50$100$200facility $33professional $33

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
Aetna
Setting
Professional
Modifier
None
Typical Low
$30.90
Median
$32.36
Typical High
$33.11
BCBS Texas
Setting
Professional
Modifier
None
Typical Low
$40.74
Median
$47.86
Typical High
$47.86
Cigna
Setting
Professional
Modifier
None
Typical Low
$20.42
Median
$25.70
Typical High
$42.66
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$199.53
Median
$309.03
Typical High
$309.03
Moda Health
Setting
Facility
Modifier
None
Typical Low
$30.90
Median
$33.11
Typical High
$43.65
Moda Health
Setting
Professional
Modifier
None
Typical Low
$30.90
Median
$32.36
Typical High
$33.11
Molina
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Providence
Setting
Facility
Modifier
None
Typical Low
$30.90
Median
$33.11
Typical High
$43.65
Providence
Setting
Professional
Modifier
None
Typical Low
$33.88
Median
$42.66
Typical High
$72.44
United
Setting
Professional
Modifier
None
Typical Low
$25.12
Median
$33.88
Typical High
$51.29
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$31.62
Median
$31.62
Typical High
$31.62

Where Texas 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.

Texas· 16th of 51

$33.11

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.