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Pinworm Examination

New Mexico 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?

$5.13

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $5.13 for this service. The price depends on where it is billed: about $3.72 from a physician practice, and about $13.80 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 5 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$3.24 to $5.13
FacilityA hospital or hospital-owned outpatient department$13.80$6.46 to $33.88

How much rates vary

Facilitymedian $14 · 10th to 90th $4 to $43Professionalmedian $4 · 10th to 90th $3 to $28
$10$100$1K$10K$100Kfacility $14professional $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
$6.46
Median
$12.88
Typical High
$13.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.24
Median
$5.01
Typical High
$28.18
BCBS
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$28.18
Typical High
$45.71
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2.29
Median
$3.47
Typical High
$3.98
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.75
Median
$2.75
Typical High
$2.75
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.63
Median
$6.17
Typical High
$9.33
Providence
Setting
Facility
Modifier
Global
Typical Low
$3.80
Median
$5.13
Typical High
$7.41
Providence
Setting
Professional
Modifier
Global
Typical Low
$2.63
Median
$6.61
Typical High
$10.72
United
Setting
Facility
Modifier
Global
Typical Low
$1.62
Median
$4.27
Typical High
$6.46
United
Setting
Professional
Modifier
Global
Typical Low
$2.57
Median
$3.55
Typical High
$4.27

Where New Mexico 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.

New Mexico· 18th of 51

$5.13

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.