go back

MDPP Four Core Sessions

South Dakota rates for HCPCS G9874

Four total Medicare Diabetes Prevention Program (MDPP) core sessions were 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 Four Core Sessions cost?

$115

Typical physician fee. In South Dakota, July 2026.

Insurers have agreed to pay about $115 for this service. Most negotiated rates run $45.71 to $129.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $129 · 10th to 90th $52 to $240Professionalmedian $115 · 10th to 90th $38 to $141
$1.0$5.0$20.0$100.0facility $129professional $115

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
$52.48
Median
$52.48
Typical High
$52.48
Aetna
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$117.49
Typical High
$141.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$125.89
Typical High
$158.49
Medica
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$128.82
Typical High
$257.04
Medica
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$75.86
Typical High
$302.00
Midlands
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$75.86
Typical High
$107.15
Midlands
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$61.66
United
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$60.26
Typical High
$104.71
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1.00
Median
$1.00
Typical High
$1.00

Where South Dakota sits

The same service costs 2.5 times more in South Dakota than in Hawaii. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

South Dakota $115 · 1st of 51
SD $115HI $45.71

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.