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MDPP Bridge Payment

New York 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?

$25.12

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $25.12 for this service. The price depends on where it is billed: about $25.12 from a physician practice, and about $24.55 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$25.12$21.38 to $31.62
FacilityA hospital or hospital-owned outpatient department$24.55$18.62 to $28.18

How much rates vary

Facilitymedian $25 · 10th to 90th $13 to $32Professionalmedian $25 · 10th to 90th $17 to $36
$100$1K$10Kfacility $25professional $25

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
$13.18
Median
$28.18
Typical High
$31.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$25.12
Typical High
$36.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$30.90
Typical High
$30.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$19.50
Typical High
$30.20
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$18.62
Median
$21.38
Typical High
$21.38
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$24.55
Typical High
$39.81
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$50,118.72
Median
$53,703.18
Typical High
$75,857.76
United
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$213.80
United
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$28.18
Typical High
$64.57
Univera
Setting
Facility
Modifier
Global
Typical Low
$18.62
Median
$24.55
Typical High
$24.55
Univera
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$24.55
Typical High
$41.69

Where New York 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.

New York· 46th of 51

$25.12

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.