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Pinworm Examination

Vermont 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?

$7.41

Typical negotiated rate. In Vermont, July 2026.

Insurers have agreed to pay about $7.41 for this service. The price depends on where it is billed: about $7.41 from a physician practice, and about $28.84 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$7.41$7.41 to $7.41
FacilityA hospital or hospital-owned outpatient department$28.84$26.30 to $72.44

How much rates vary

Facilitymedian $29 · 10th to 90th $4 to $102Professionalmedian $7 · 10th to 90th $4 to $7
$2$5$10$20$50$100facility $29professional $7

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$102.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$7.41
Typical High
$7.41
BCBS
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$33.11
Typical High
$75.86
BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.25
Median
$5.25
Typical High
$5.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.08
Median
$28.84
Typical High
$28.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$6.17
Typical High
$7.59
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$4.27
Median
$4.27
Typical High
$4.27
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$3.47
Typical High
$3.47
United
Setting
Facility
Modifier
Global
Typical Low
$1.48
Median
$1.48
Typical High
$1.48
United
Setting
Professional
Modifier
Global
Typical Low
$2.75
Median
$6.03
Typical High
$11.48

Where Vermont 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.

Vermont· 6th of 51

$7.41

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.