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

Michigan 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?

$67.61

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $67.61 for this service. The price depends on where it is billed: about $67.61 from a physician practice, and about $102 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 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$67.61$51.29 to $95.50
FacilityA hospital or hospital-owned outpatient department$102$102 to $102

How much rates vary

Facilitymedian $102 · 10th to 90th $102 to $102Professionalmedian $68 · 10th to 90th $47 to $105
$1.0$5.0$20.0$100.0facility $102professional $68

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. 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
Global
Typical Low
$102.33
Median
$102.33
Typical High
$102.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$67.61
Typical High
$104.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$112.20
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$102.33
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$83.18
Typical High
$104.71
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$112.20
Typical High
$117.49
United
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$51.29
Typical High
$63.10
United
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$66.07
Typical High
$100.00

Where Michigan 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.

Michigan $67.61 · 26th 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.