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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 July 2026.

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

$64.57

Typical physician fee. In Idaho, July 2026.

Insurers have agreed to pay about $64.57 for this service. Most negotiated rates run $48.98 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 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $83 · 10th to 90th $50 to $145Professionalmedian $63 · 10th to 90th $46 to $100
$50$100$200facility $83professional $63

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
$51.29
Median
$51.29
Typical High
$51.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$52.48
Typical High
$93.33
BCBS
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$81.28
Typical High
$87.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$47.86
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$87.10
Typical High
$147.91
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$3,890.45
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$83.18
Typical High
$131.83
Select Health
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$102.33
Typical High
$125.89
United
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$81.28
Typical High
$112.20

Where Idaho sits

The same service costs 1.9 times more in South Dakota than in Louisiana. 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· 37th of 51

$64.57

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.