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MDPP First Core Session

Indiana 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?

$26.92

Typical negotiated rate. In Indiana, October 2026.

Insurers have agreed to pay about $26.92 for this service. The price depends on where it is billed: about $26.30 from a physician practice, and about $912 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$26.30$21.38 to $38.02
FacilityA hospital or hospital-owned outpatient department$912$38.02 to $955

How much rates vary

Facilitymedian $912 · 10th to 90th $21 to $2,138Professionalmedian $26 · 10th to 90th $19 to $38
$20$50$100$200$500$1K$2Kfacility $912professional $26

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
$21.38
Median
$38.02
Typical High
$38.02
Aetna
Setting
Professional
Modifier
None
Typical Low
$21.38
Median
$38.02
Typical High
$38.02
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$10.72
Median
$19.05
Typical High
$19.05
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$4.27
Median
$7.59
Typical High
$7.59
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$3.24
Median
$5.75
Typical High
$5.75
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$2.14
Median
$3.80
Typical High
$3.80
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$9.33
Median
$22.91
Typical High
$45.71
Cigna
Setting
Facility
Modifier
None
Typical Low
$19.95
Median
$21.38
Typical High
$21.38
Cigna
Setting
Professional
Modifier
None
Typical Low
$19.50
Median
$19.50
Typical High
$26.92
Physicians Health Plan of Northern Indiana
Setting
Facility
Modifier
None
Typical Low
$912.01
Median
$954.99
Typical High
$2,187.76
Physicians Health Plan of Northern Indiana
Setting
Professional
Modifier
None
Typical Low
$245.47
Median
$245.47
Typical High
$245.47
United
Setting
Professional
Modifier
None
Typical Low
$21.38
Median
$25.70
Typical High
$39.81

Where Indiana 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.

Indiana· 22nd of 51

$26.92

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.