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MDPP First Core Session

Colorado 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?

$27.54

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $27.54 for this service. The price depends on where it is billed: about $26.92 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 6 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$26.92$21.38 to $36.31
FacilityA hospital or hospital-owned outpatient department$32.36$26.92 to $39.81

How much rates vary

Facilitymedian $32 · 10th to 90th $22 to $54Professionalmedian $27 · 10th to 90th $19 to $41
$20$50$100facility $32professional $27

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
Professional
Modifier
Global
Typical Low
$19.05
Median
$26.92
Typical High
$38.90
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$27.54
Typical High
$27.54
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$32.36
Typical High
$48.98
Cigna
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$30.90
Typical High
$30.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$19.50
Typical High
$19.50
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$22.39
Median
$32.36
Typical High
$53.70
Select Health
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$45.71
Typical High
$45.71
United
Setting
Facility
Modifier
Global
Typical Low
$0.03
Median
$41.69
Typical High
$60.26
United
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$32.36
Typical High
$50.12

Where Colorado 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.

Colorado· 24th of 51

$27.54

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.