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Pinworm Examination

Florida 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?

$3.89

Typical negotiated rate. In Florida, July 2026.

Insurers have agreed to pay about $3.89 for this service. The price depends on where it is billed: about $3.72 from a physician practice, and about $10.23 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 7 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$3.72$3.55 to $3.98
FacilityA hospital or hospital-owned outpatient department$10.23$4.47 to $15.85

How much rates vary

Facilitymedian $10 · 10th to 90th $4 to $21Professionalmedian $4 · 10th to 90th $3 to $6
$5$10$20$50$100facility $10professional $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
$3.80
Median
$12.30
Typical High
$20.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$3.72
Typical High
$6.17
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$2.63
Median
$2.63
Typical High
$4.27
AvMed
Setting
Facility
Modifier
Global
Typical Low
$3.80
Median
$4.27
Typical High
$5.01
AvMed
Setting
Professional
Modifier
Global
Typical Low
$3.55
Median
$4.27
Typical High
$6.17
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.95
Median
$5.25
Typical High
$12.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.24
Median
$4.57
Typical High
$8.51
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$4.47
Median
$7.94
Typical High
$7.94
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$2.57
Median
$2.57
Typical High
$5.89
United
Setting
Facility
Modifier
Global
Typical Low
$1.91
Median
$3.80
Typical High
$5.25
United
Setting
Professional
Modifier
Global
Typical Low
$1.91
Median
$3.55
Typical High
$8.13
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$2.09
Median
$2.19
Typical High
$4.27

Where Florida 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.

Florida· 41st of 51

$3.89

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.