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Visual Identification Of A Parasite

Maine rates for HCPCS 87169

A specimen is examined directly by eye in the laboratory to identify a parasite that is large enough to see without magnification. The laboratory reports what the specimen turns out to be.

Rates data updated July 2026.

How much does Visual Identification Of A Parasite cost?

$4.27

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $4.27 for this service. The price depends on where it is billed: about $4.27 from a physician practice, and about $6.92 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 6 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$4.27$3.47 to $4.57
FacilityA hospital or hospital-owned outpatient department$6.92$4.27 to $19.05

How much rates vary

Facilitymedian $7 · 10th to 90th $4 to $40Professionalmedian $4 · 10th to 90th $2 to $6
$2$5$10$20$50facility $7professional $4

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
$4.27
Median
$6.92
Typical High
$10.72
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.31
Median
$3.47
Typical High
$5.13
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5.01
Median
$39.81
Typical High
$43.65
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.74
Median
$2.45
Typical High
$5.50
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.13
Median
$6.03
Typical High
$9.77
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$4.27
Typical High
$6.17
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$4.27
Typical High
$5.25
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$4.27
Median
$4.27
Typical High
$19.05
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$4.27
Typical High
$6.46
United
Setting
Facility
Modifier
Global
Typical Low
$5.25
Median
$5.25
Typical High
$5.25
United
Setting
Professional
Modifier
Global
Typical Low
$2.57
Median
$4.27
Typical High
$8.71

Where Maine sits

The same service costs 3.2 times more in Oklahoma than in Washington, DC. 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.

Maine· 33rd of 51

$4.27

OK $10.47DC $3.24

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.