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MDPP First Core Session

Florida 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?

$23.44

Typical negotiated rate. In Florida, July 2026.

Insurers have agreed to pay about $23.44 for this service. The price depends on where it is billed: about $23.44 from a physician practice, and about $21.38 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$23.44$19.05 to $28.84
FacilityA hospital or hospital-owned outpatient department$21.38$16.60 to $25.12

How much rates vary

Facilitymedian $21 · 10th to 90th $17 to $25Professionalmedian $23 · 10th to 90th $17 to $38
$20$50facility $21professional $23

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
$16.60
Median
$21.38
Typical High
$25.12
Aetna
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$23.44
Typical High
$38.02
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
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$20.42
Typical High
$25.70
Molina
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$50.12
United
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$21.38
Typical High
$43.65
United
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$25.70
Typical High
$43.65
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$11.22
Typical High
$38.02

Where Florida 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.

Florida· 49th of 51

$23.44

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.