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MDPP Bridge Payment

Wisconsin 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 Wisconsin, July 2026.

Insurers have agreed to pay about $34.67 for this service. The price depends on where it is billed: about $33.11 from a physician practice, and about $36.31 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$33.11$21.88 to $38.90
FacilityA hospital or hospital-owned outpatient department$36.31$25.70 to $46.77

How much rates vary

Facilitymedian $36 · 10th to 90th $21 to $79Professionalmedian $33 · 10th to 90th $19 to $55
$20$50$100facility $36professional $33

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
$36.31
Median
$36.31
Typical High
$36.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$28.18
Typical High
$38.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$79.43
Typical High
$128.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$38.02
Typical High
$48.98
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$20.42
Median
$36.31
Typical High
$48.98
Medica
Setting
Facility
Modifier
Global
Typical Low
$21.38
Median
$36.31
Typical High
$48.98
Medica
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$45.71
Typical High
$151.36
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$58.88
Typical High
$70.79
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$20.42
Median
$36.31
Typical High
$48.98
Quartz
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$41.69
Typical High
$72.44
Quartz
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$151.36
Quartz
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$117.49
Typical High
$151.36
United
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$40.74
Typical High
$89.13

Where Wisconsin 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.

Wisconsin· 3rd 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.