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Pinworm Examination

Massachusetts 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?

$5.89

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $5.89 for this service. The price depends on where it is billed: about $4.27 from a physician practice, and about $10.72 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 9 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$4.27 to $6.46
FacilityA hospital or hospital-owned outpatient department$10.72$6.17 to $13.80

How much rates vary

Facilitymedian $11 · 10th to 90th $4 to $26Professionalmedian $4 · 10th to 90th $4 to $13
$5$20$100$500$2Kfacility $11professional $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
$4.27
Median
$11.48
Typical High
$37.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.89
Median
$4.07
Typical High
$19.05
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$3.89
Median
$6.03
Typical High
$70.79
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$3.55
Median
$4.27
Typical High
$10.47
BCBS
Setting
Facility
Modifier
Global
Typical Low
$8.51
Median
$10.72
Typical High
$16.98
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.98
Median
$3.98
Typical High
$5.50
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3.31
Median
$6.76
Typical High
$10.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.57
Median
$5.01
Typical High
$10.72
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$4.90
Median
$33.88
Typical High
$7,079.46
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$6.03
Typical High
$7.08
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$4.27
Typical High
$12.88
Health New England
Setting
Facility
Modifier
Global
Typical Low
$4.07
Median
$5.62
Typical High
$9.12
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$3.89
Median
$6.03
Typical High
$70.79
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$3.55
Median
$4.27
Typical High
$10.47
United
Setting
Facility
Modifier
Global
Typical Low
$2.45
Median
$4.27
Typical High
$6.17
United
Setting
Professional
Modifier
Global
Typical Low
$2.69
Median
$4.27
Typical High
$10.96

Where Massachusetts 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.

Massachusetts· 12th of 51

$5.89

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.