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Pinworm Examination

Connecticut rates for HCPCS 87172

A test for pinworm infection performed by pressing a piece of clear tape against the skin around the anus, usually first thing in the morning before bathing. The tape is then examined under a microscope for pinworm eggs.

Rates data updated July 2026.

How much does Pinworm Examination cost?

$4.07

Typical negotiated rate. In Connecticut, July 2026.

Insurers have agreed to pay about $4.07 for this service. The price depends on where it is billed: about $3.89 from a physician practice, and about $7.24 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 5 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$3.89$3.89 to $4.07
FacilityA hospital or hospital-owned outpatient department$7.24$5.01 to $9.33

How much rates vary

Facilitymedian $7 · 10th to 90th $4 to $13Professionalmedian $4 · 10th to 90th $3 to $6
$2$5$10facility $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
$7.59
Typical High
$12.59
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.16
Median
$3.89
Typical High
$4.57
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4.68
Median
$6.76
Typical High
$11.48
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2.09
Median
$2.57
Typical High
$6.61
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.95
Median
$6.92
Typical High
$16.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.82
Median
$4.79
Typical High
$6.46
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$2.00
Median
$4.27
Typical High
$6.17
United
Setting
Facility
Modifier
Global
Typical Low
$4.27
Median
$4.27
Typical High
$4.27
United
Setting
Professional
Modifier
Global
Typical Low
$2.57
Median
$4.47
Typical High
$7.59

Where Connecticut 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.

Connecticut· 38th of 51

$4.07

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.