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MDPP First Core Session

Ohio 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?

$20.89

Typical physician fee. In Ohio, October 2026.

Insurers have agreed to pay about $20.89 for this service. Most negotiated rates run $19.50 to $22.91.

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.

How much rates vary

Facilitymedian $21 · 10th to 90th $21 to $21Professionalmedian $21 · 10th to 90th $19 to $31
$20$50facility $21professional $21

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
$20.89
Typical High
$20.89
Aetna
Setting
Professional
Modifier
None
Typical Low
$20.89
Median
$20.89
Typical High
$23.99
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$10.47
Median
$10.47
Typical High
$11.75
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$4.17
Median
$4.17
Typical High
$4.79
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$3.09
Median
$3.09
Typical High
$3.55
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$2.04
Median
$2.04
Typical High
$2.40
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$9.33
Median
$11.22
Typical High
$27.54
Cigna
Setting
Professional
Modifier
None
Typical Low
$19.50
Median
$19.50
Typical High
$19.50
Medical Mutual of Ohio
Setting
Professional
Modifier
None
Typical Low
$19.50
Median
$19.50
Typical High
$19.50
Molina
Setting
Professional
Modifier
None
Typical Low
$39.81
Median
$50.12
Typical High
$60.26
SummaCare
Setting
Professional
Modifier
None
Typical Low
$50.12
Median
$70.79
Typical High
$70.79
United
Setting
Professional
Modifier
None
Typical Low
$19.50
Median
$23.44
Typical High
$39.81

Where Ohio 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.

Ohio· 47th of 51

$20.89

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.