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Diabetes Prevention Group Program Session

Utah 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?

$37.15

Typical negotiated rate. In Utah, October 2026.

Insurers have agreed to pay about $37.15 for this service. The price depends on where it is billed: about $37.15 from a physician practice, and about $35.48 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$37.15$34.67 to $40.74
FacilityA hospital or hospital-owned outpatient department$35.48$15.49 to $53.70

How much rates vary

Facilitymedian $35 · 10th to 90th $15 to $62Professionalmedian $37 · 10th to 90th $15 to $41
$20$100$500$2Kfacility $35professional $37

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
$15.49
Median
$15.49
Typical High
$15.49
Aetna
Setting
Professional
Modifier
None
Typical Low
$15.49
Median
$15.49
Typical High
$15.49
Cigna
Setting
Professional
Modifier
None
Typical Low
$33.88
Median
$33.88
Typical High
$33.88
Molina
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$30.20
Typical High
$44.67
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$41.69
Median
$53.70
Typical High
$61.66
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$34.67
Median
$37.15
Typical High
$40.74
Select Health
Setting
Facility
Modifier
None
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$5,011.87
Select Health
Setting
Professional
Modifier
None
Typical Low
$3,890.45
Median
$4,466.84
Typical High
$5,011.87
U of Utah Health Plan
Setting
Professional
Modifier
None
Typical Low
$32.36
Median
$43.65
Typical High
$43.65
United
Setting
Professional
Modifier
None
Typical Low
$26.92
Median
$32.36
Typical High
$52.48

Where Utah 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.

Utah· 9th of 51

$37.15

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.