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

Indiana 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?

$64.57

Typical physician fee. In Indiana, October 2026.

Insurers have agreed to pay about $64.57 for this service. Most negotiated rates run $52.48 to $100.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $912 · 10th to 90th $100 to $2,188Professionalmedian $63 · 10th to 90th $48 to $100
$50$100$200$500$1K$2Kfacility $912professional $63

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
Facility
Modifier
None
Typical Low
$52.48
Median
$100.00
Typical High
$100.00
Aetna
Setting
Professional
Modifier
None
Typical Low
$52.48
Median
$100.00
Typical High
$100.00
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$26.30
Median
$50.12
Typical High
$50.12
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$10.47
Median
$20.42
Typical High
$20.42
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$7.76
Median
$15.14
Typical High
$15.14
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$5.25
Median
$10.00
Typical High
$10.00
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$22.91
Median
$54.95
Typical High
$112.20
Cigna
Setting
Professional
Modifier
None
Typical Low
$47.86
Median
$47.86
Typical High
$51.29
Physicians Health Plan of Northern Indiana
Setting
Facility
Modifier
None
Typical Low
$912.01
Median
$954.99
Typical High
$2,187.76
Physicians Health Plan of Northern Indiana
Setting
Professional
Modifier
None
Typical Low
$245.47
Median
$245.47
Typical High
$245.47
United
Setting
Professional
Modifier
None
Typical Low
$51.29
Median
$63.10
Typical High
$95.50

Where Indiana 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.

Indiana· 23rd of 51

$64.57

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.