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MDPP First Core Session

Tennessee 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?

$26.30

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $26.30 for this service. The price depends on where it is billed: about $26.30 from a physician practice, and about $52.48 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 4 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$26.30$21.38 to $31.62
FacilityA hospital or hospital-owned outpatient department$52.48$34.67 to $151

How much rates vary

Facilitymedian $52 · 10th to 90th $28 to $151Professionalmedian $26 · 10th to 90th $19 to $38
$20.0$50.0$100.0facility $52professional $26

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
$46.77
Median
$46.77
Typical High
$46.77
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$26.30
Typical High
$36.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$30.90
Typical High
$30.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$19.50
Typical High
$19.50
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$194.98
Typical High
$194.98
United
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$33.88
Typical High
$54.95
United
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$28.18
Typical High
$47.86

Where Tennessee 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.

Tennessee $26.30 · 32nd 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.