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MDPP First Core Session

Massachusetts 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?

$29.51

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $29.51 for this service. The price depends on where it is billed: about $29.51 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 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$29.51$23.44 to $41.69
FacilityA hospital or hospital-owned outpatient department$21.38$21.38 to $83.18

How much rates vary

Facilitymedian $21 · 10th to 90th $21 to $151Professionalmedian $30 · 10th to 90th $19 to $60
$20.0$50.0$100.0facility $21professional $30

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
$25.12
Typical High
$36.31
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$32.36
Typical High
$151.36
Cigna
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$19.50
Typical High
$19.50
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$32.36
Median
$69.18
Typical High
$87.10
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$38.02
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$41.69
Typical High
$63.10
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$32.36
Typical High
$151.36
United
Setting
Facility
Modifier
Global
Typical Low
$22.39
Median
$22.39
Typical High
$22.39
United
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$35.48
Typical High
$64.57

Where Massachusetts 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.

Massachusetts $29.51 · 10th 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.