go back

MDPP Bridge Payment

Iowa rates for HCPCS G9890

Bridge Payment: A one-time payment for the first Medicare Diabetes Prevention Program (MDPP) core session, core maintenance session, or ongoing maintenance session furnished by an MDPP supplier to an MDPP beneficiary during months 1-24 of the MDPP Expanded Model (EM) who has previously received MDPP services from a different MDPP supplier under the MDPP Expanded Model. A supplier may only receive one bridge payment per MDPP beneficiary

Rates data updated July 2026.

How much does MDPP Bridge Payment cost?

$28.18

Typical physician fee. In Iowa, July 2026.

Insurers have agreed to pay about $28.18 for this service. Most negotiated rates run $24.55 to $38.02.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $47 · 10th to 90th $20 to $123Professionalmedian $28 · 10th to 90th $21 to $47
$2$5$10$20$50$100facility $47professional $28

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
$46.77
Median
$46.77
Typical High
$46.77
Aetna
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$28.18
Typical High
$46.77
Cigna
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$28.84
Typical High
$36.31
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$25.12
Typical High
$45.71
Medica
Setting
Facility
Modifier
Global
Typical Low
$18.20
Median
$42.66
Typical High
$123.03
Medica
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$40.74
Typical High
$151.36
Midlands
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$33.11
Typical High
$52.48
United
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$43.65
Typical High
$75.86
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$0.79
Median
$1.00
Typical High
$1.00

Where Iowa sits

The same service costs 1.6 times more in Missouri than in Vermont. 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.

Iowa· 25th of 51

$28.18

MO $35.48VT $21.88

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.