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MDPP Bridge Payment

Nebraska 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 negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $28.18 for this service. The price depends on where it is billed: about $28.18 from a physician practice, and about $72.44 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$28.18$21.38 to $38.02
FacilityA hospital or hospital-owned outpatient department$72.44$38.02 to $123

How much rates vary

Facilitymedian $72 · 10th to 90th $28 to $166Professionalmedian $28 · 10th to 90th $13 to $39
$20$50$100$200facility $72professional $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. 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
$38.02
Median
$38.02
Typical High
$38.02
Aetna
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$28.18
Typical High
$38.02
BCBS
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$125.89
Typical High
$245.47
BCBS
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$20.42
Typical High
$20.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$35.48
Typical High
$54.95
Medica
Setting
Facility
Modifier
Global
Typical Low
$25.12
Median
$44.67
Typical High
$72.44
Medica
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$52.48
Typical High
$151.36
Midlands
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$37.15
Typical High
$58.88
Midlands
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$51.29
Typical High
$51.29
United
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$56.23
Typical High
$95.50

Where Nebraska 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.

Nebraska· 17th 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.