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MDPP First Core Session

Illinois 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 October 2026.

How much does MDPP First Core Session cost?

$30.20

Typical physician fee. In Illinois, October 2026.

Insurers have agreed to pay about $30.20 for this service. Most negotiated rates run $23.99 to $36.31.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $36 · 10th to 90th $21 to $100Professionalmedian $30 · 10th to 90th $19 to $41
$20$50$100facility $36professional $30

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$20.89
Median
$36.31
Typical High
$38.02
Aetna
Setting
Professional
Modifier
None
Typical Low
$26.30
Median
$36.31
Typical High
$36.31
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$13.18
Median
$18.20
Typical High
$18.20
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$5.25
Median
$7.24
Typical High
$7.24
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$3.98
Median
$5.37
Typical High
$5.37
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$2.63
Median
$3.63
Typical High
$3.63
Cigna
Setting
Professional
Modifier
None
Typical Low
$19.50
Median
$19.50
Typical High
$19.50
Hally Health
Setting
Professional
Modifier
None
Typical Low
$100.00
Median
$120.23
Typical High
$346.74
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Molina
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
United
Setting
Professional
Modifier
None
Typical Low
$23.99
Median
$26.30
Typical High
$43.65

Where Illinois sits

The same service costs 2.7 times more in Alaska than in Connecticut. 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.

Illinois· 19th of 51

$30.20

AK $51.29CT $19.05

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.