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Diabetes Self-Management Training, Group

Illinois rates for HCPCS G0109

Diabetes outpatient self-management training services, group session (two or more), per 30 minutes

Rates data updated October 2026.

How much does Diabetes Self-Management Training, Group cost?

$17.78

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $17.78 for this service. The price depends on where it is billed: about $17.78 from a physician practice, and about $33.88 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$17.78$15.49 to $22.39
FacilityA hospital or hospital-owned outpatient department$33.88$22.39 to $89.13

How much rates vary

Facilitymedian $34 · 10th to 90th $18 to $191Professionalmedian $18 · 10th to 90th $15 to $26
$20$50$100$200facility $34professional $18

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
$15.14
Median
$15.49
Typical High
$33.11
Aetna
Setting
Professional
Modifier
None
Typical Low
$14.13
Median
$15.49
Typical High
$20.89
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$7.08
Median
$7.76
Typical High
$7.76
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$2.82
Median
$3.09
Typical High
$3.09
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$2.14
Median
$2.29
Typical High
$2.29
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$1.45
Median
$1.55
Typical High
$1.55
Ambetter
Setting
Professional
Modifier
None
Typical Low
$15.49
Median
$20.42
Typical High
$23.44
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$21.88
Median
$41.69
Typical High
$208.93
BCBS Illinois
Setting
Professional
Modifier
None
Typical Low
$17.78
Median
$21.88
Typical High
$22.39
Cigna
Setting
Professional
Modifier
None
Typical Low
$14.79
Median
$14.79
Typical High
$14.79
Hally Health
Setting
Professional
Modifier
None
Typical Low
$13.49
Median
$16.98
Typical High
$48.98
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
None
Typical Low
$19.05
Median
$19.05
Typical High
$20.42
Molina
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
United
Setting
Facility
Modifier
None
Typical Low
$17.78
Median
$17.78
Typical High
$19.50
United
Setting
Professional
Modifier
None
Typical Low
$14.13
Median
$16.98
Typical High
$28.84

Where Illinois sits

The same service costs 2.8 times more in Alaska than in Louisiana. 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· 20th of 51

$17.78

AK $38.90LA $13.80

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.