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 July 2026.

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

$69.18

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $69.18 for this service. The price depends on where it is billed: about $69.18 from a physician practice, and about $100 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 4 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	$69.18	$52.48 to $97.72
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$100	$60.26 to $107

How much rates vary

Facilitymedian $100 · 10th to 90th $60 to $107Professionalmedian $69 · 10th to 90th $48 to $102

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 $60.26 Median $100.00 Typical High $107.15	Facility	Global	$60.26	$100.00	$107.15
Aetna Setting Professional Modifier Global Typical Low $47.86 Median $79.43 Typical High $102.33	Professional	Global	$47.86	$79.43	$102.33
Anthem BCBS Setting Professional Modifier Global Typical Low $0.02 Median $26.92 Typical High $117.49	Professional	Global	$0.02	$26.92	$117.49
Cigna Setting Facility Modifier Global Typical Low $75.86 Median $75.86 Typical High $75.86	Facility	Global	$75.86	$75.86	$75.86
Cigna Setting Professional Modifier Global Typical Low $47.86 Median $47.86 Typical High $47.86	Professional	Global	$47.86	$47.86	$47.86
United Setting Facility Modifier Global Typical Low $43.65 Median $43.65 Typical High $43.65	Facility	Global	$43.65	$43.65	$43.65
United Setting Professional Modifier Global Typical Low $51.29 Median $63.10 Typical High $102.33	Professional	Global	$51.29	$63.10	$102.33

Where Indiana sits

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.

Indiana $69.18 · 17th of 51

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.