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Pinworm Examination

North Carolina 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?

$3.89

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $3.89 for this service. The price depends on where it is billed: about $3.72 from a physician practice, and about $7.41 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$3.72$3.39 to $5.37
FacilityA hospital or hospital-owned outpatient department$7.41$3.80 to $13.49

How much rates vary

Facilitymedian $7 · 10th to 90th $3 to $14Professionalmedian $4 · 10th to 90th $3 to $13
$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
$3.39
Median
$10.00
Typical High
$14.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.39
Median
$3.39
Typical High
$12.59
BCBS
Setting
Facility
Modifier
Global
Typical Low
$7.24
Median
$11.75
Typical High
$16.98
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.24
Median
$3.80
Typical High
$4.79
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.95
Median
$8.13
Typical High
$19.50
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.19
Median
$2.95
Typical High
$6.61
Medcost
Setting
Professional
Modifier
Global
Typical Low
$3.55
Median
$7.41
Typical High
$8.32
Medcost
Setting
Facility
Modifier
Global
Typical Low
$3.39
Median
$3.89
Typical High
$7.41
Medcost
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$5.62
Typical High
$5.62
United
Setting
Facility
Modifier
Global
Typical Low
$2.24
Median
$5.62
Typical High
$8.13
United
Setting
Professional
Modifier
Global
Typical Low
$2.57
Median
$3.80
Typical High
$6.03
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$70.79

Where North Carolina 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.

North Carolina· 43rd of 51

$3.89

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.