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MDPP First Core Session

Michigan 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 negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $26.92 for this service. The price depends on where it is billed: about $26.92 from a physician practice, and about $38.90 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 5 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$26.92$21.38 to $36.31
FacilityA hospital or hospital-owned outpatient department$38.90$38.90 to $38.90

How much rates vary

Facilitymedian $39 · 10th to 90th $38 to $39Professionalmedian $27 · 10th to 90th $19 to $39
$0.5$2.0$10.0$50.0facility $39professional $27

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. 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
Global
Typical Low
$38.90
Median
$38.90
Typical High
$38.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$26.92
Typical High
$38.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$19.50
Typical High
$42.66
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$38.02
Typical High
$38.02
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$32.36
Typical High
$38.90
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$42.66
Typical High
$44.67
United
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$21.38
Typical High
$26.30
United
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$27.54
Typical High
$41.69

Where Michigan 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.

Michigan $26.92 · 30th 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.