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MDPP Bridge Payment

Montana 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?

$31.62

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $31.62 for this service. The price depends on where it is billed: about $28.18 from a physician practice, and about $38.90 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 5 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$28.18$21.38 to $34.67
FacilityA hospital or hospital-owned outpatient department$38.90$33.88 to $39.81

How much rates vary

Facilitymedian $39 · 10th to 90th $22 to $41Professionalmedian $28 · 10th to 90th $19 to $39
$20$50facility $39professional $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
Professional
Modifier
Global
Typical Low
$19.05
Median
$28.18
Typical High
$38.02
Cigna
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$36.31
Typical High
$36.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$36.31
Typical High
$36.31
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$38.90
Typical High
$40.74
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$38.90
Typical High
$40.74
Providence
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$33.11
Typical High
$42.66
Providence
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$37.15
Typical High
$79.43
United
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$41.69
Typical High
$53.70

Where Montana 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.

Montana· 4th of 51

$31.62

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.