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Diabetes Prevention Group Program Session

Virginia 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?

$28.84

Typical negotiated rate. In Virginia, October 2026.

Insurers have agreed to pay about $28.84 for this service. The price depends on where it is billed: about $28.84 from a physician practice, and about $39.81 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$28.84$25.70 to $31.62
FacilityA hospital or hospital-owned outpatient department$39.81$35.48 to $70.79

How much rates vary

Facilitymedian $40 · 10th to 90th $29 to $10,233Professionalmedian $29 · 10th to 90th $25 to $36
$20$100$500$2K$10Kfacility $40professional $29

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
$36.31
Median
$36.31
Typical High
$37.15
Aetna
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$36.31
Typical High
$37.15
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$25.12
Median
$28.84
Typical High
$31.62
CareFirst
Setting
Professional
Modifier
None
Typical Low
$25.70
Median
$25.70
Typical High
$25.70
Cigna
Setting
Professional
Modifier
None
Typical Low
$20.42
Median
$23.44
Typical High
$28.84
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$26.92
Median
$35.48
Typical High
$51.29
Medcost
Setting
Facility
Modifier
None
Typical Low
$30.20
Median
$36.31
Typical High
$54.95
Medcost
Setting
Professional
Modifier
None
Typical Low
$20.89
Median
$20.89
Typical High
$29.51
Sentara
Setting
Facility
Modifier
None
Typical Low
$27.54
Median
$43.65
Typical High
$10,232.93
Sentara
Setting
Professional
Modifier
None
Typical Low
$20.42
Median
$37.15
Typical High
$57.54
United
Setting
Professional
Modifier
None
Typical Low
$20.42
Median
$31.62
Typical High
$56.23

Where Virginia 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.

Virginia· 29th of 51

$28.84

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.