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Pinworm Examination

Idaho 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?

$4.90

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $4.90 for this service. The price depends on where it is billed: about $4.27 from a physician practice, and about $8.51 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$4.27$3.98 to $8.32
FacilityA hospital or hospital-owned outpatient department$8.51$4.68 to $14.45

How much rates vary

Facilitymedian $9 · 10th to 90th $4 to $17Professionalmedian $4 · 10th to 90th $3 to $8
$5$10$20facility $9professional $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
$7.76
Median
$14.45
Typical High
$14.45
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$4.90
Typical High
$8.32
BCBS
Setting
Facility
Modifier
Global
Typical Low
$6.46
Median
$12.02
Typical High
$22.91
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$4.27
Typical High
$36.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3.31
Median
$8.91
Typical High
$16.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.57
Median
$3.09
Typical High
$6.17
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$4.27
Median
$4.27
Typical High
$5.50
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$4.27
Typical High
$5.13
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$6.46
Median
$8.71
Typical High
$15.49
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$3.63
Typical High
$4.47
Select Health
Setting
Facility
Modifier
Global
Typical Low
$4.27
Median
$4.27
Typical High
$10.96
Select Health
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$4.27
Typical High
$4.27
United
Setting
Professional
Modifier
Global
Typical Low
$2.57
Median
$3.63
Typical High
$7.08

Where Idaho 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.

Idaho· 25th of 51

$4.90

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.