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

Minnesota 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?

$60.26

Typical negotiated rate. In Minnesota, July 2026.

Insurers have agreed to pay about $60.26 for this service. The price depends on where it is billed: about $60.26 from a physician practice, and about $107 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 6 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$60.26$58.88 to $60.26
FacilityA hospital or hospital-owned outpatient department$107$79.43 to $331

How much rates vary

Facilitymedian $107 · 10th to 90th $60 to $603Professionalmedian $60 · 10th to 90th $48 to $112
$50$100$200$500$1Kfacility $107professional $60

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
Aetna
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$102.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$64.57
Typical High
$104.71
BCBS
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$60.26
Typical High
$588.84
BCBS
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$60.26
Typical High
$60.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$331.13
Typical High
$1,000.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$114.82
Typical High
$141.25
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$398.11
Typical High
$794.33
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$120.23
Medica
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$89.13
Typical High
$190.55
Medica
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$104.71
Typical High
$331.13
United
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$77.62
Typical High
$165.96

Where Minnesota sits

The same service costs 1.9 times more in South Dakota than in Louisiana. 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.

Minnesota· 44th of 51

$60.26

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.