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Pinworm Examination

Iowa 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?

$8.71

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $8.71 for this service. The price depends on where it is billed: about $9.33 from a physician practice, and about $7.76 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$9.33$4.27 to $27.54
FacilityA hospital or hospital-owned outpatient department$7.76$4.27 to $11.22

How much rates vary

Facilitymedian $8 · 10th to 90th $3 to $30Professionalmedian $9 · 10th to 90th $3 to $30
$5$10$20$50facility $8professional $9

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
$3.31
Median
$10.00
Typical High
$35.48
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.31
Median
$26.92
Typical High
$30.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.25
Median
$8.32
Typical High
$10.23
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$10.47
Typical High
$39.81
Medica
Setting
Facility
Modifier
Global
Typical Low
$4.27
Median
$5.50
Typical High
$13.49
Medica
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$6.03
Typical High
$10.96
Midlands
Setting
Professional
Modifier
Global
Typical Low
$5.25
Median
$5.25
Typical High
$5.25
Midlands
Setting
Facility
Modifier
Global
Typical Low
$5.25
Median
$5.25
Typical High
$5.25
United
Setting
Facility
Modifier
Global
Typical Low
$4.27
Median
$4.27
Typical High
$9.33
United
Setting
Professional
Modifier
Global
Typical Low
$3.89
Median
$4.57
Typical High
$9.77
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$3.39
Median
$4.27
Typical High
$4.27

Where Iowa 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.

Iowa· 2nd of 51

$8.71

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.