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

Texas 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?

$69.18

Typical negotiated rate. In Texas, July 2026.

Insurers have agreed to pay about $69.18 for this service. The price depends on where it is billed: about $69.18 from a physician practice, and about $79.43 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 9 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$69.18$52.48 to $91.20
FacilityA hospital or hospital-owned outpatient department$79.43$60.26 to $107

How much rates vary

Facilitymedian $79 · 10th to 90th $51 to $174Professionalmedian $69 · 10th to 90th $48 to $100
$1.0$10.0$100.0$1.0Kfacility $79professional $69

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
$51.29
Median
$51.29
Typical High
$74.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$69.18
Typical High
$100.00
Christus
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
Cigna
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$75.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$47.86
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$363.08
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$467.74
Typical High
$467.74
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$77.62
Typical High
$144.54
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$60.26
Typical High
$79.43
Molina
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$1,995.26
Providence
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$75.86
Typical High
$144.54
Providence
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$47.86
United
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$53.70
Typical High
$83.18
United
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$66.07
Typical High
$102.33
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$100.00
Typical High
$134.90

Where Texas 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.

Texas $69.18 · 13th 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.