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MDPP Nine Core Sessions

Kansas 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?

$155

Typical negotiated rate. In Kansas, July 2026.

Insurers have agreed to pay about $155 for this service. The price depends on where it is billed: about $141 from a physician practice, and about $195 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$141$85.11 to $191
FacilityA hospital or hospital-owned outpatient department$195$170 to $240

How much rates vary

Facilitymedian $195 · 10th to 90th $87 to $316Professionalmedian $141 · 10th to 90th $71 to $209
$50$100$200$500facility $195professional $141

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
$169.82
Median
$169.82
Typical High
$169.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$169.82
Typical High
$204.17
Cigna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$70.79
Medica
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$194.98
Typical High
$316.23
Medica
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$120.23
Typical High
$537.03
United
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$85.11
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$109.65
Typical High
$165.96

Where Kansas 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.

Kansas· 3rd of 51

$155

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.