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

Minnesota 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?

$15.14

Typical negotiated rate. In Minnesota, July 2026.

Insurers have agreed to pay about $15.14 for this service. The price depends on where it is billed: about $15.14 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 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$15.14$14.13 to $15.14
FacilityA hospital or hospital-owned outpatient department$77.62$20.42 to $214

How much rates vary

Facilitymedian $78 · 10th to 90th $15 to $457Professionalmedian $15 · 10th to 90th $12 to $78
$10$20$50$100$200$500facility $78professional $15

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
$77.62
Median
$77.62
Typical High
$77.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$38.02
Typical High
$77.62
BCBS
Setting
Facility
Modifier
Global
Typical Low
$14.79
Median
$15.14
Typical High
$147.91
BCBS
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$15.14
Typical High
$15.14
Cigna
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$251.19
Typical High
$758.58
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$85.11
Typical High
$107.15
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$302.00
Typical High
$588.84
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$89.13
Medica
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$26.92
Typical High
$128.82
Medica
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$25.70
Typical High
$91.20
United
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$19.50
Typical High
$40.74

Where Minnesota 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.

Minnesota· 44th of 51

$15.14

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.