go back

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

South Dakota 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?

$102

Typical physician fee. In South Dakota, July 2026.

Insurers have agreed to pay about $102 for this service. Most negotiated rates run $54.95 to $112.

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.

How much rates vary

Facilitymedian $112 · 10th to 90th $63 to $214Professionalmedian $100 · 10th to 90th $46 to $126
$1.0$5.0$20.0$100.0facility $112professional $100

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
$63.10
Median
$63.10
Typical High
$63.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$102.33
Typical High
$125.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$112.20
Typical High
$141.25
Medica
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$125.89
Typical High
$223.87
Medica
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$91.20
Typical High
$363.08
Midlands
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$91.20
Typical High
$128.82
Midlands
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$74.13
United
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$72.44
Typical High
$125.89
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1.00
Median
$1.00
Typical High
$1.00

Where South Dakota 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.

South Dakota $102 · 1st 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.