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

Nebraska 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?

$79.43

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $79.43 for this service. The price depends on where it is billed: about $79.43 from a physician practice, and about $126 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$79.43$47.86 to $100
FacilityA hospital or hospital-owned outpatient department$126$89.13 to $178

How much rates vary

Facilitymedian $126 · 10th to 90th $60 to $204Professionalmedian $79 · 10th to 90th $45 to $126
$0.1$1.0$10.0$100.0facility $126professional $79

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
$100.00
Median
$100.00
Typical High
$100.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$64.57
Typical High
$112.20
BCBS
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$125.89
Typical High
$165.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$50.12
Typical High
$50.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$75.86
Typical High
$141.25
Medica
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$125.89
Typical High
$213.80
Medica
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$112.20
Typical High
$363.08
Midlands
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$91.20
Typical High
$131.83
Midlands
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$97.72
Typical High
$131.83
United
Setting
Facility
Modifier
Global
Typical Low
$0.06
Median
$0.06
Typical High
$0.06
United
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$102.33
Typical High
$177.83

Where Nebraska 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.

Nebraska $79.43 · 8th 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.