MDPP Core Maintenance, Months 7-9, Under 5% Weight Loss

Hawaii rates for HCPCS G9876

Two Medicare Diabetes Prevention Program (MDPP) core maintenance sessions (MS) were attended by an MDPP beneficiary in months (mo) 7-9 under the MDPP Expanded Model (EM). A core maintenance session is an MDPP service that: (1) is furnished by an MDPP supplier during months 7 through 12 of the MDPP services period; (2) is approximately 1 hour in length; and (3) adheres to a CDC-approved DPP curriculum for maintenance sessions. The beneficiary did not achieve at least 5% weight loss (WL) from his/her baseline weight, as measured by at least one in-person weight measurement at a core maintenance session in months 7-9

Rates data updated July 2026.

How much does MDPP Core Maintenance, Months 7-9, Under 5% Weight Loss cost?

$13.18

Typical physician fee. In Hawaii, July 2026.

Insurers have agreed to pay about $13.18 for this service. Most negotiated rates run $12.88 to $24.55.

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

Professionalmedian $13 · 10th to 90th $10 to $72

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	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Setting Professional Modifier Global Typical Low $10.23 Median $13.18 Typical High $72.44	Professional	Global	$10.23	$13.18	$72.44
Cigna Setting Professional Modifier Global Typical Low $12.02 Median $12.02 Typical High $89.13	Professional	Global	$12.02	$12.02	$89.13
Kaiser Permanente Setting Professional Modifier Global Typical Low $676.08 Median $676.08 Typical High $676.08	Professional	Global	$676.08	$676.08	$676.08
United Setting Professional Modifier Global Typical Low $12.02 Median $16.22 Typical High $24.55	Professional	Global	$12.02	$16.22	$24.55

Where Hawaii sits

The same service costs 5.8 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.

Hawaii· 51st of 51

$13.18

SD $75.86HI $13.18

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.