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Pinworm Examination

Montana 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?

$6.03

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $6.03 for this service. The price depends on where it is billed: about $5.75 from a physician practice, and about $6.76 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 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$5.75$4.90 to $8.32
FacilityA hospital or hospital-owned outpatient department$6.76$5.75 to $13.49

How much rates vary

Facilitymedian $7 · 10th to 90th $5 to $91Professionalmedian $6 · 10th to 90th $4 to $28
$10$100$1K$10K$100Kfacility $7professional $6

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
$30.90
Median
$30.90
Typical High
$91.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4.90
Median
$4.90
Typical High
$28.18
BCBS
Setting
Facility
Modifier
Global
Typical Low
$5.75
Median
$14.79
Typical High
$81,283.05
BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$5.75
Typical High
$5.75
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6.17
Median
$7.24
Typical High
$24.55
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.88
Median
$5.01
Typical High
$6.17
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$4.27
Median
$6.03
Typical High
$13.18
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$6.03
Typical High
$13.18
Providence
Setting
Facility
Modifier
Global
Typical Low
$6.17
Median
$8.32
Typical High
$24.55
Providence
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$3.80
Typical High
$6.17
United
Setting
Facility
Modifier
Global
Typical Low
$4.27
Median
$4.27
Typical High
$4.27
United
Setting
Professional
Modifier
Global
Typical Low
$2.57
Median
$3.47
Typical High
$6.03

Where Montana 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.

Montana· 11th of 51

$6.03

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.