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MDPP Four Core Sessions

Utah 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?

$60.26

Typical physician fee. In Utah, July 2026.

Insurers have agreed to pay about $60.26 for this service. Most negotiated rates run $43.65 to $95.50.

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 $63 · 10th to 90th $63 to $63Professionalmedian $60 · 10th to 90th $39 to $115
$50$100facility $63professional $60

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
$63.10
Median
$63.10
Typical High
$63.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$63.10
Typical High
$114.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$44.67
Typical High
$54.95
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$60.26
Typical High
$79.43
Select Health
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$138.04
Typical High
$144.54
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$60.26
Typical High
$67.61
United
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$54.95
Typical High
$87.10

Where Utah sits

The same service costs 2.5 times more in South Dakota than in Hawaii. 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.

Utah· 15th of 51

$60.26

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.