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Online Diabetes Prevention Program

Pennsylvania 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?

$67.61

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $67.61 for this service. The price depends on where it is billed: about $67.61 from a physician practice, and about $53.70 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$67.61$53.70 to $100
FacilityA hospital or hospital-owned outpatient department$53.70$53.70 to $53.70

How much rates vary

Facilitymedian $54 · 10th to 90th $54 to $63Professionalmedian $68 · 10th to 90th $44 to $110
$50$100facility $54professional $68

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
$53.70
Typical High
$63.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$67.61
Typical High
$109.65
Cigna
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$46.77
Typical High
$302.00
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$95.50
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$83.18
Typical High
$138.04
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$53.70
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$63.10
Typical High
$109.65
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$42.66
Typical High
$46.77
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$42.66
Typical High
$46.77
United
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$58.88
Typical High
$138.04

Where Pennsylvania 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.

Pennsylvania· 47th of 51

$67.61

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.