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MDPP First Core Session

Iowa 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?

$33.88

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $33.88 for this service. The price depends on where it is billed: about $33.88 from a physician practice, and about $38.02 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$33.88$25.12 to $38.90
FacilityA hospital or hospital-owned outpatient department$38.02$28.18 to $46.77

How much rates vary

Facilitymedian $38 · 10th to 90th $23 to $72Professionalmedian $34 · 10th to 90th $19 to $48
$1.0$2.0$5.0$10.0$20.0$50.0$100.0facility $38professional $34

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
$46.77
Median
$46.77
Typical High
$46.77
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$33.11
Typical High
$46.77
Cigna
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$37.15
Typical High
$53.70
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Medica
Setting
Facility
Modifier
Global
Typical Low
$22.91
Median
$38.02
Typical High
$72.44
Medica
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$41.69
Typical High
$151.36
Midlands
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$37.15
Typical High
$58.88
Midlands
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$63.10
Typical High
$91.20
United
Setting
Facility
Modifier
Global
Typical Low
$25.12
Median
$34.67
Typical High
$41.69
United
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$38.90
Typical High
$69.18
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1.00
Median
$1.00
Typical High
$1.00

Where Iowa sits

The same service costs 1.7 times more in South Dakota than in Louisiana. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Iowa $33.88 · 4th of 51
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.