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

Kansas 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?

$53.70

Typical negotiated rate. In Kansas, July 2026.

Insurers have agreed to pay about $53.70 for this service. The price depends on where it is billed: about $30.20 from a physician practice, and about $77.62 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 by	Who charges it	Typical	Range
Physician practiceA doctor's office, clinic or independent provider	A doctor's office, clinic or independent provider	$30.20	$14.13 to $75.86
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$77.62	$67.61 to $91.20

How much rates vary

Facilitymedian $78 · 10th to 90th $15 to $115Professionalmedian $30 · 10th to 90th $12 to $83

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 Facility Modifier Global Typical Low $67.61 Median $67.61 Typical High $67.61	Facility	Global	$67.61	$67.61	$67.61
Aetna Setting Professional Modifier Global Typical Low $11.22 Median $67.61 Typical High $83.18	Professional	Global	$11.22	$67.61	$83.18
Cigna Setting Professional Modifier Global Typical Low $12.02 Median $12.02 Typical High $12.02	Professional	Global	$12.02	$12.02	$12.02
Medica Setting Facility Modifier Global Typical Low $14.79 Median $77.62 Typical High $114.82	Facility	Global	$14.79	$77.62	$114.82
Medica Setting Professional Modifier Global Typical Low $14.13 Median $19.95 Typical High $91.20	Professional	Global	$14.13	$19.95	$91.20
United Setting Facility Modifier Global Typical Low $14.13 Median $14.13 Typical High $14.13	Facility	Global	$14.13	$14.13	$14.13
United Setting Professional Modifier Global Typical Low $13.49 Median $18.20 Typical High $27.54	Professional	Global	$13.49	$18.20	$27.54

Where Kansas 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.

Kansas· 2nd of 51

$53.70

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.