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Pinworm Examination

Illinois 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?

$4.27

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $4.27 for this service. The price depends on where it is billed: about $3.89 from a physician practice, and about $7.08 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 6 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$3.47 to $4.47
FacilityA hospital or hospital-owned outpatient department$7.08$4.37 to $9.77

How much rates vary

Facilitymedian $7 · 10th to 90th $4 to $24Professionalmedian $4 · 10th to 90th $3 to $9
$5$10$20$50facility $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
$3.63
Median
$6.92
Typical High
$18.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.31
Median
$3.63
Typical High
$9.12
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$2.63
Median
$2.63
Typical High
$2.63
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4.27
Median
$7.41
Typical High
$44.67
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.31
Median
$3.47
Typical High
$4.27
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4.79
Median
$9.77
Typical High
$19.50
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.19
Median
$5.01
Typical High
$7.59
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$8.32
Typical High
$74.13
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$5.50
Median
$5.50
Typical High
$5.50
United
Setting
Facility
Modifier
Global
Typical Low
$3.16
Median
$4.27
Typical High
$8.51
United
Setting
Professional
Modifier
Global
Typical Low
$2.57
Median
$3.72
Typical High
$6.17

Where Illinois 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.

Illinois· 35th of 51

$4.27

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.