go back

MDPP Core Maintenance, Months 10-12, Under 5% Weight Loss

Maine rates for HCPCS G9877

Two Medicare Diabetes Prevention Program (MDPP) core maintenance sessions (MS) were attended by an MDPP beneficiary in months (mo) 10-12 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 10-12

Rates data updated October 2026.

How much does MDPP Core Maintenance, Months 10-12, Under 5% Weight Loss cost?

$13.80

Typical physician fee. In Maine, October 2026.

Insurers have agreed to pay about $13.80 for this service. Most negotiated rates run $6.76 to $15.14.

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.

How much rates vary

Professionalmedian $14 · 10th to 90th $7 to $22
$10$20$50professional $14

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$13.80
Median
$13.80
Typical High
$14.13
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$6.92
Median
$6.92
Typical High
$7.08
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$2.82
Median
$2.82
Typical High
$2.82
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$2.09
Median
$2.09
Typical High
$2.14
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$1.41
Median
$1.41
Typical High
$1.45
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$5.13
Median
$6.76
Typical High
$7.41
Cigna
Setting
Professional
Modifier
None
Typical Low
$12.02
Median
$12.02
Typical High
$12.02
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$15.14
Median
$17.38
Typical High
$26.92
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$13.80
Median
$13.80
Typical High
$13.80
Martin's Point
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$6.92
Median
$6.92
Typical High
$6.92
Martin's Point
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$2.82
Median
$2.82
Typical High
$2.82
Martin's Point
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$2.09
Median
$2.09
Typical High
$2.09
Martin's Point
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$1.41
Median
$1.41
Typical High
$1.41
United
Setting
Professional
Modifier
None
Typical Low
$12.88
Median
$15.14
Typical High
$26.30

Where Maine sits

The same service costs 4.9 times more in Alaska than in Connecticut. 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.

Maine· 40th of 51

$13.80

AK $56.23CT $11.48

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.