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

Nationwide rates for HCPCS G9878

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 achieved 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, 5% Weight Loss or More cost?

$64.57

Typical negotiated rate. Nationwide, July 2026.

Insurers have agreed to pay about $64.57 for this service. The price depends on where it is billed: about $64.57 from a physician practice, and about $87.10 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 49 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	$64.57	$51.29 to $93.33
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$87.10	$63.10 to $110

How much rates vary

Facilitymedian $87 · 10th to 90th $51 to $148Professionalmedian $65 · 10th to 90th $46 to $105

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 $43.65 Median $63.10 Typical High $102.33	Facility	Global	$43.65	$63.10	$102.33
Aetna Setting Professional Modifier Global Typical Low $44.67 Median $64.57 Typical High $100.00	Professional	Global	$44.67	$64.57	$100.00
BCBS Setting Facility Modifier Global Typical Low $67.61 Median $67.61 Typical High $67.61	Facility	Global	$67.61	$67.61	$67.61
BCBS Setting Professional Modifier Global Typical Low $0.03 Median $47.86 Typical High $125.89	Professional	Global	$0.03	$47.86	$125.89
Cigna Setting Facility Modifier Global Typical Low $75.86 Median $75.86 Typical High $354.81	Facility	Global	$75.86	$75.86	$354.81
Cigna Setting Professional Modifier Global Typical Low $47.86 Median $47.86 Typical High $112.20	Professional	Global	$47.86	$47.86	$112.20
United Setting Facility Modifier Global Typical Low $41.69 Median $64.57 Typical High $107.15	Facility	Global	$41.69	$64.57	$107.15
United Setting Professional Modifier Global Typical Low $48.98 Median $66.07 Typical High $120.23	Professional	Global	$48.98	$66.07	$120.23

What it costs in each state

The same service costs 1.9 times more in South Dakota than in Louisiana. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

SD $102LA $54.95

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.