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Pinworm Examination

Georgia 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 Georgia, July 2026.

Insurers have agreed to pay about $4.07 for this service. The price depends on where it is billed: about $3.63 from a physician practice, and about $5.75 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$3.63$2.82 to $4.90
FacilityA hospital or hospital-owned outpatient department$5.75$4.27 to $7.59

How much rates vary

Facilitymedian $6 · 10th to 90th $3 to $10Professionalmedian $4 · 10th to 90th $2 to $8
$2$5$10facility $6professional $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
$3.39
Median
$6.61
Typical High
$10.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.82
Median
$3.63
Typical High
$10.00
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$2.63
Median
$2.63
Typical High
$2.63
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3.31
Median
$5.75
Typical High
$7.59
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2.09
Median
$2.57
Typical High
$8.13
CareSource
Setting
Facility
Modifier
Global
Typical Low
$3.24
Median
$3.24
Typical High
$3.24
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4.17
Median
$8.71
Typical High
$13.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.34
Median
$3.09
Typical High
$9.33
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$6.03
Typical High
$15.85
United
Setting
Facility
Modifier
Global
Typical Low
$2.51
Median
$3.80
Typical High
$5.25
United
Setting
Professional
Modifier
Global
Typical Low
$2.57
Median
$4.37
Typical High
$6.46

Where Georgia 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.

Georgia· 40th 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.