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

Kansas 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?

$89.13

Typical negotiated rate. In Kansas, July 2026.

Insurers have agreed to pay about $89.13 for this service. The price depends on where it is billed: about $85.11 from a physician practice, and about $105 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	$85.11	$56.23 to $100
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$105	$89.13 to $126

How much rates vary

Facilitymedian $105 · 10th to 90th $59 to $166Professionalmedian $85 · 10th to 90th $48 to $112

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 $89.13 Median $89.13 Typical High $89.13	Facility	Global	$89.13	$89.13	$89.13
Aetna Setting Professional Modifier Global Typical Low $46.77 Median $89.13 Typical High $109.65	Professional	Global	$46.77	$89.13	$109.65
Cigna Setting Professional Modifier Global Typical Low $47.86 Median $47.86 Typical High $47.86	Professional	Global	$47.86	$47.86	$47.86
Medica Setting Facility Modifier Global Typical Low $58.88 Median $107.15 Typical High $165.96	Facility	Global	$58.88	$107.15	$165.96
Medica Setting Professional Modifier Global Typical Low $57.54 Median $81.28 Typical High $363.08	Professional	Global	$57.54	$81.28	$363.08
United Setting Facility Modifier Global Typical Low $57.54 Median $57.54 Typical High $57.54	Facility	Global	$57.54	$57.54	$57.54
United Setting Professional Modifier Global Typical Low $56.23 Median $72.44 Typical High $112.20	Professional	Global	$56.23	$72.44	$112.20

Where Kansas 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.

Kansas $89.13 · 4th 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.