go back

Visual Identification Of A Parasite

Pennsylvania 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?

$4.17

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $4.17 for this service. The price depends on where it is billed: about $3.55 from a physician practice, and about $10.72 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 9 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$3.55$3.39 to $4.07
FacilityA hospital or hospital-owned outpatient department$10.72$5.13 to $16.98

How much rates vary

Facilitymedian $11 · 10th to 90th $4 to $25Professionalmedian $4 · 10th to 90th $3 to $8
$2$5$10$20$50facility $11professional $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
$3.63
Median
$10.72
Typical High
$19.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.39
Median
$3.55
Typical High
$6.61
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$22.39
Median
$30.90
Typical High
$8,511.38
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$3.39
Median
$3.39
Typical High
$3.72
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3.09
Median
$6.46
Typical High
$14.45
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.45
Median
$5.50
Typical High
$10.00
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$2.04
Median
$2.51
Typical High
$6.31
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$4.27
Median
$4.27
Typical High
$4.27
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$4.79
Typical High
$7.41
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$4.27
Median
$14.79
Typical High
$23.44
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$3.63
Median
$10.72
Typical High
$19.95
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$3.39
Median
$3.63
Typical High
$10.72
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$9.33
Median
$19.50
Typical High
$42.66
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$4.27
Typical High
$6.03
United
Setting
Facility
Modifier
Global
Typical Low
$2.34
Median
$4.27
Typical High
$5.13
United
Setting
Professional
Modifier
Global
Typical Low
$1.95
Median
$3.47
Typical High
$8.13

Where Pennsylvania 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.

Pennsylvania· 35th of 51

$4.17

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.