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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 October 2026.

How much does MDPP First Core Session cost?

$26.30

Typical physician fee. In Tennessee, October 2026.

Insurers have agreed to pay about $26.30 for this service. Most negotiated rates run $20.89 to $151.

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.

How much rates vary

Facilitymedian $26 · 10th to 90th $26 to $26Professionalmedian $26 · 10th to 90th $19 to $200
$20$50$100$200facility $26professional $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
$26.30
Median
$26.30
Typical High
$26.30
Aetna
Setting
Professional
Modifier
None
Typical Low
$17.78
Median
$26.30
Typical High
$28.84
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$8.91
Median
$13.18
Typical High
$14.45
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$3.63
Median
$5.25
Typical High
$5.75
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$2.69
Median
$3.98
Typical High
$4.37
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$1.78
Median
$2.63
Typical High
$2.88
Cigna
Setting
Professional
Modifier
None
Typical Low
$19.50
Median
$19.50
Typical High
$19.50
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$199.53
Typical High
$199.53
United
Setting
Professional
Modifier
None
Typical Low
$21.88
Median
$25.70
Typical High
$44.67

Where Tennessee 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.

Tennessee· 26th of 51

$26.30

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.