go back

California rates for HCPCS 90913

Biofeedback training, perineal muscles, anorectal or urethral sphincter, including EMG and/or manometry, when performed; each additional 15 minutes of one-on-one physician or other qualified health care professional contact with the patient (List separately in addition to code for primary procedure)

Facilitymedian $32 · 10th–90th $23–$470%10%10th90th$32Professionalmedian $32 · 10th–90th $22–$930%10%10th90th$32$10.0$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $25.12 / $33.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $30.90 / $123.03
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $30.90 / $30.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $32.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $41.69 / $87.10
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$53.70 / $53.70 / $53.70
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $35.48 / $64.57
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $37.15 / $81.28
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $37.15 / $53.70
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $26.92 / $40.74
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$151.36 / $151.36 / $151.36
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $263.03 / $263.03
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $31.62 / $46.77
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $38.02 / $79.43
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $79.43 / $107.15
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37.15 / $37.15 / $37.15
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $31.62 / $72.44