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Georgia 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 $22 · 10th–90th $22–$290%20%40%90th$22Professionalmedian $29 · 10th–90th $22–$410%10%20%10th90th$29$10.0$20.0$50.0$100.0$200.0

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $28.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $28.84 / $40.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $30.90 / $41.69
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $38.02 / $66.07
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $33.11 / $46.77
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $81.28 / $81.28
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $36.31 / $66.07