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Diabetes Prevention Group Program Session

Wisconsin 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 Wisconsin, 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$28.84 to $47.86
FacilityA hospital or hospital-owned outpatient department$33.11$21.88 to $56.23

How much rates vary

Facilitymedian $33 · 10th to 90th $21 to $65Professionalmedian $33 · 10th to 90th $21 to $95
$20$50$100$200facility $33professional $33

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
$33.11
Median
$33.11
Typical High
$33.11
Aetna
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$29.51
Median
$30.90
Typical High
$89.13
Cigna
Setting
Facility
Modifier
None
Typical Low
$56.23
Median
$63.10
Typical High
$95.50
Cigna
Setting
Professional
Modifier
None
Typical Low
$20.42
Median
$25.12
Typical High
$28.84
DeanCare
Setting
Facility
Modifier
None
Typical Low
$18.20
Median
$21.88
Typical High
$38.90
DeanCare
Setting
Professional
Modifier
None
Typical Low
$36.31
Median
$36.31
Typical High
$38.90
Medica
Setting
Facility
Modifier
None
Typical Low
$18.20
Median
$21.88
Typical High
$37.15
Medica
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$199.53
Typical High
$199.53
Prevea360
Setting
Facility
Modifier
None
Typical Low
$18.20
Median
$21.88
Typical High
$38.90
Quartz
Setting
Professional
Modifier
None
Typical Low
$39.81
Median
$47.86
Typical High
$79.43
Quartz
Setting
Professional
Modifier
None
Typical Low
$42.66
Median
$42.66
Typical High
$42.66
Security Health
Setting
Professional
Modifier
None
Typical Low
$21.38
Median
$21.38
Typical High
$22.91
Security Health
Setting
Professional
Modifier
None
Typical Low
$22.91
Median
$38.90
Typical High
$69.18
United
Setting
Professional
Modifier
None
Typical Low
$21.88
Median
$42.66
Typical High
$77.62

Where Wisconsin 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.

Wisconsin· 17th 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.