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MDPP First Core Session

California rates for HCPCS G9873

First Medicare Diabetes Prevention Program (MDPP) core session was attended by an MDPP beneficiary under the MDPP Expanded Model (EM). A core session is an MDPP service that: (1) is furnished by an MDPP supplier during months 1 through 6 of the MDPP services period; (2) is approximately 1 hour in length; and (3) adheres to a CDC-approved DPP curriculum for core sessions

Rates data updated July 2026.

How much does MDPP First Core Session cost?

$25.70

Typical negotiated rate. In California, July 2026.

Insurers have agreed to pay about $25.70 for this service. The price depends on where it is billed: about $25.12 from a physician practice, and about $32.36 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 8 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$25.12$20.42 to $34.67
FacilityA hospital or hospital-owned outpatient department$32.36$24.55 to $40.74

How much rates vary

Facilitymedian $32 · 10th to 90th $20 to $66Professionalmedian $25 · 10th to 90th $19 to $42
$20$50$100facility $32professional $25

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
$20.42
Median
$20.42
Typical High
$20.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$25.12
Typical High
$38.90
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$23.44
Typical High
$81.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$19.50
Typical High
$19.50
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$23.99
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$257.04
Typical High
$831.76
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$194.98
Typical High
$194.98
Providence
Setting
Facility
Modifier
Global
Typical Low
$20.42
Median
$31.62
Typical High
$51.29
Providence
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$19.50
Typical High
$21.88
United
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$23.99
Typical High
$41.69
United
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$26.92
Typical High
$47.86

Where California sits

The same service costs 1.7 times more in South Dakota 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.

California· 38th of 51

$25.70

SD $38.02LA $22.39

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.