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Online Diabetes Prevention Program

New York 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?

$117

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $117 for this service. The price depends on where it is billed: about $117 from a physician practice, and about $69.18 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 7 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$117$89.13 to $245
FacilityA hospital or hospital-owned outpatient department$69.18$69.18 to $95.50

How much rates vary

Facilitymedian $69 · 10th to 90th $54 to $117Professionalmedian $117 · 10th to 90th $54 to $275
$50$100$200$500facility $69professional $117

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$69.18
Typical High
$117.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$91.20
Typical High
$117.49
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$245.47
Typical High
$275.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$302.00
Typical High
$302.00
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$95.50
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$67.61
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$72.44
Typical High
$120.23
United
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$100.00
Typical High
$107.15
United
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$102.33
Typical High
$213.80
Univera
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$67.61
Typical High
$95.50
Univera
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$95.50

Where New York 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.

New York· 2nd of 51

$117

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.