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MDPP Nine Core Sessions

Florida rates for HCPCS G9875

Nine 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 Nine Core Sessions cost?

$85.11

Typical negotiated rate. In Florida, July 2026.

Insurers have agreed to pay about $85.11 for this service. The price depends on where it is billed: about $85.11 from a physician practice, and about $75.86 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 6 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$85.11$70.79 to $112
FacilityA hospital or hospital-owned outpatient department$75.86$58.88 to $89.13

How much rates vary

Facilitymedian $76 · 10th to 90th $59 to $89Professionalmedian $85 · 10th to 90th $59 to $182
$50$100$200facility $76professional $85

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
$58.88
Median
$75.86
Typical High
$89.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$85.11
Typical High
$181.97
Cigna
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$112.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$70.79
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$74.13
Typical High
$93.33
Molina
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$50.12
United
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$75.86
Typical High
$190.55
United
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$93.33
Typical High
$158.49
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$190.55

Where Florida sits

The same service costs 2.3 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.

Florida· 48th of 51

$85.11

SD $191HI $83.18

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.