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Pinworm Examination

West Virginia 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?

$3.47

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $3.47 for this service. The price depends on where it is billed: about $3.39 from a physician practice, and about $5.37 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$3.39$3.31 to $4.07
FacilityA hospital or hospital-owned outpatient department$5.37$3.47 to $6.46

How much rates vary

Facilitymedian $5 · 10th to 90th $3 to $6Professionalmedian $3 · 10th to 90th $3 to $4
$2$5$10$20$50facility $5professional $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
$3.47
Median
$5.37
Typical High
$6.46
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.24
Median
$3.39
Typical High
$4.07
CareSource
Setting
Facility
Modifier
Global
Typical Low
$5.75
Median
$5.75
Typical High
$5.75
CareSource
Setting
Professional
Modifier
Global
Typical Low
$5.13
Median
$5.13
Typical High
$5.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3.55
Median
$8.13
Typical High
$12.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.40
Median
$8.13
Typical High
$30.20
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$27.54
Typical High
$60.26
United
Setting
Facility
Modifier
Global
Typical Low
$1.78
Median
$1.78
Typical High
$4.90
United
Setting
Professional
Modifier
Global
Typical Low
$2.57
Median
$3.55
Typical High
$6.03

Where West Virginia 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.

West Virginia· 48th of 51

$3.47

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.