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

Idaho 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 October 2026.

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

$81.28

Typical physician fee. In Idaho, October 2026.

Insurers have agreed to pay about $81.28 for this service. Most negotiated rates run $56.23 to $87.10.

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 9 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $85 · 10th to 90th $56 to $93Professionalmedian $81 · 10th to 90th $48 to $89
$50$100facility $85professional $81

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$46.77
Median
$87.10
Typical High
$87.10
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$23.44
Median
$43.65
Typical High
$43.65
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$9.33
Median
$17.38
Typical High
$17.38
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$6.92
Median
$13.18
Typical High
$13.18
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$4.68
Median
$8.71
Typical High
$8.71
BCBS Idaho
Setting
Professional
Modifier
None
Typical Low
$70.79
Median
$83.18
Typical High
$83.18
Cigna
Setting
Professional
Modifier
None
Typical Low
$47.86
Median
$47.86
Typical High
$47.86
Moda Health
Setting
Facility
Modifier
None
Typical Low
$75.86
Median
$87.10
Typical High
$93.33
Moda Health
Setting
Professional
Modifier
None
Typical Low
$46.77
Median
$87.10
Typical High
$87.10
Moda Health
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$23.44
Median
$43.65
Typical High
$43.65
Moda Health
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$9.33
Median
$17.38
Typical High
$17.38
Moda Health
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$6.92
Median
$13.18
Typical High
$13.18
Moda Health
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$4.68
Median
$8.71
Typical High
$8.71
Molina
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$56.23
Median
$64.57
Typical High
$91.20
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$56.23
Median
$64.57
Typical High
$107.15
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$70.79
Median
$83.18
Typical High
$91.20
Select Health
Setting
Professional
Modifier
None
Typical Low
$100.00
Median
$123.03
Typical High
$8,511.38
United
Setting
Professional
Modifier
None
Typical Low
$63.10
Median
$79.43
Typical High
$102.33

Where Idaho sits

The same service costs 3.0 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.

Idaho· 12th of 51

$81.28

AK $138CT $46.77

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.