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MDPP First Core Session

Idaho 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?

$26.92

Typical physician fee. In Idaho, July 2026.

Insurers have agreed to pay about $26.92 for this service. Most negotiated rates run $19.95 to $33.88.

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.

How much rates vary

Facilitymedian $33 · 10th to 90th $21 to $58Professionalmedian $26 · 10th to 90th $19 to $38
$20$50$100facility $33professional $26

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
$21.38
Median
$21.38
Typical High
$21.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$21.88
Typical High
$34.67
BCBS
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$33.88
Typical High
$35.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$19.50
Typical High
$19.50
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$20.42
Median
$33.88
Typical High
$58.88
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$3,890.45
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$34.67
Typical High
$53.70
Select Health
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$38.90
Typical High
$46.77
United
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$33.88
Typical High
$46.77

Where Idaho 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.

Idaho· 28th of 51

$26.92

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.