go back

MDPP Bridge Payment

Oregon 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?

$34.67

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $34.67 for this service. The price depends on where it is billed: about $30.20 from a physician practice, and about $45.71 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 8 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$30.20$21.38 to $34.67
FacilityA hospital or hospital-owned outpatient department$45.71$38.02 to $45.71

How much rates vary

Facilitymedian $46 · 10th to 90th $24 to $46Professionalmedian $30 · 10th to 90th $20 to $44
$20$50facility $46professional $30

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
$21.38
Median
$21.38
Typical High
$21.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$28.18
Typical High
$36.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$19.50
Typical High
$19.50
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$45.71
Typical High
$58.88
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$20.42
Median
$33.11
Typical High
$45.71
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$45.71
Typical High
$45.71
Providence
Setting
Facility
Modifier
Global
Typical Low
$20.42
Median
$33.11
Typical High
$45.71
Providence
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$32.36
Typical High
$79.43
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$43.65
Typical High
$61.66
United
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$48.98
Typical High
$74.13

Where Oregon 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.

Oregon· 2nd of 51

$34.67

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.