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North Carolina 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 $31 · 10th–90th $23–$420%10%20%10th90th$31Professionalmedian $25 · 10th–90th $16–$410%10%10th90th$25$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $30.90 / $30.90
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $28.84 / $41.69
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $29.51 / $35.48
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $21.88 / $31.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $43.65 / $72.44
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $30.20 / $41.69
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $28.18 / $28.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $33.11 / $61.66
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$151.36 / $151.36 / $151.36
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $263.03 / $263.03