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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 October 2026.

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

$63.10

Typical physician fee. In Michigan, October 2026.

Insurers have agreed to pay about $63.10 for this service. Most negotiated rates run $52.48 to $102.

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 $51 · 10th to 90th $50 to $105Professionalmedian $63 · 10th to 90th $51 to $105
$50$100facility $51professional $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
$50.12
Median
$50.12
Typical High
$51.29
Aetna
Setting
Professional
Modifier
None
Typical Low
$50.12
Median
$52.48
Typical High
$52.48
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$25.12
Median
$26.30
Typical High
$26.30
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$10.00
Median
$10.47
Typical High
$10.47
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$7.59
Median
$7.94
Typical High
$7.94
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$5.01
Median
$5.25
Typical High
$5.25
Cigna
Setting
Professional
Modifier
None
Typical Low
$47.86
Median
$47.86
Typical High
$104.71
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$102.33
Median
$102.33
Typical High
$104.71
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$102.33
Median
$104.71
Typical High
$104.71
Health Alliance Plan
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$51.29
Median
$52.48
Typical High
$52.48
Health Alliance Plan
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$20.42
Median
$20.89
Typical High
$20.89
Health Alliance Plan
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$15.49
Median
$15.49
Typical High
$15.49
Health Alliance Plan
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$10.23
Median
$10.47
Typical High
$10.47
Priority Health
Setting
Professional
Modifier
None
Typical Low
$47.86
Median
$47.86
Typical High
$87.10
United
Setting
Professional
Modifier
None
Typical Low
$53.70
Median
$63.10
Typical High
$75.86

Where Michigan 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.

Michigan· 25th of 51

$63.10

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.