go back

Pinworm Examination

Ohio 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 Ohio, July 2026.

Insurers have agreed to pay about $4.27 for this service. The price depends on where it is billed: about $3.39 from a physician practice, and about $6.46 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$3.39$2.57 to $4.27
FacilityA hospital or hospital-owned outpatient department$6.46$4.27 to $10.72

How much rates vary

Facilitymedian $6 · 10th to 90th $3 to $14Professionalmedian $3 · 10th to 90th $2 to $11
$2$5$10$20$50$100facility $6professional $3

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
$9.33
Typical High
$14.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.39
Median
$4.07
Typical High
$39.81
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3.89
Median
$4.47
Typical High
$7.94
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2.09
Median
$2.57
Typical High
$5.50
Aultcare
Setting
Facility
Modifier
Global
Typical Low
$2.88
Median
$2.88
Typical High
$2.88
CareSource
Setting
Facility
Modifier
Global
Typical Low
$3.24
Median
$3.24
Typical High
$4.90
CareSource
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$5.75
Typical High
$5.75
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.82
Median
$5.62
Typical High
$16.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.14
Median
$2.82
Typical High
$8.13
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$2.82
Median
$5.62
Typical High
$16.22
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$2.14
Median
$2.82
Typical High
$7.08
Molina
Setting
Professional
Modifier
Global
Typical Low
$2.34
Median
$3.55
Typical High
$5.25
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$2.75
Median
$4.47
Typical High
$8.51
United
Setting
Facility
Modifier
Global
Typical Low
$2.14
Median
$4.27
Typical High
$6.46
United
Setting
Professional
Modifier
Global
Typical Low
$2.57
Median
$3.72
Typical High
$6.03

Where Ohio 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.

Ohio· 34th 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.