go back

New York 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 $28 · 10th–90th $21–$380%20%40%10th90th$28Professionalmedian $30 · 10th–90th $22–$580%10%20%10th90th$30$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
$20.89 / $28.18 / $38.02
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $28.84 / $47.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $30.90 / $52.48
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $34.67 / $34.67
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $34.67 / $45.71
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $38.90 / $38.90
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $41.69 / $102.33
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $20.89 / $85.11
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $47.86 / $64.57
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $39.81 / $67.61
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $46.77 / $114.82
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $22.91 / $33.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $40.74 / $100.00
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $22.91 / $30.20
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $34.67 / $64.57