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Online Diabetes Prevention Program

Illinois rates for HCPCS 0488T

A structured, intensive program to prevent type 2 diabetes delivered to one person through an online or app-based platform rather than in a classroom. It follows a standardized curriculum covering eating patterns, activity and weight management, with progress tracked and coaching provided as the participant works through it. It runs over an extended period rather than as a single session.

Rates data updated July 2026.

How much does Online Diabetes Prevention Program cost?

$85.11

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $85.11 for this service. The price depends on where it is billed: about $85.11 from a physician practice, and about $61.66 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$85.11$48.98 to $102
FacilityA hospital or hospital-owned outpatient department$61.66$43.65 to $100

How much rates vary

Facilitymedian $62 · 10th to 90th $44 to $100Professionalmedian $85 · 10th to 90th $32 to $117
$50$100$200facility $62professional $85

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. 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
Global
Typical Low
$43.65
Median
$43.65
Typical High
$43.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$67.61
Typical High
$109.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$27.54
Typical High
$128.82
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$346.74
Typical High
$346.74
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Molina
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$2,511.89
Typical High
$2,511.89
United
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$61.66
United
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$123.03
Typical High
$263.03

Where Illinois sits

The same service costs 3.4 times more in Kansas than in South Dakota. 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.

Illinois· 38th of 51

$85.11

KS $191SD $56.23

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.