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Pinworm Examination

Connecticut rates for HCPCS Q0113

Pinworm examinations

Rates data updated July 2026.

How much does Pinworm Examination cost?

$4.90

Typical negotiated rate. In Connecticut, July 2026.

Insurers have agreed to pay about $4.90 for this service. The price depends on where it is billed: about $4.90 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 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$4.90$4.68 to $4.90
FacilityA hospital or hospital-owned outpatient department$7.41$5.25 to $9.55

How much rates vary

Facilitymedian $7 · 10th to 90th $4 to $13Professionalmedian $5 · 10th to 90th $3 to $8
$2$5$10$20facility $7professional $5

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
$4.27
Median
$7.59
Typical High
$12.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4.57
Median
$4.90
Typical High
$5.13
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5.25
Median
$7.08
Typical High
$11.48
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2.09
Median
$2.95
Typical High
$8.32
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3.55
Median
$6.76
Typical High
$16.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.51
Median
$2.51
Typical High
$5.62
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$2.00
Median
$2.00
Typical High
$2.51
United
Setting
Professional
Modifier
Global
Typical Low
$2.57
Median
$4.68
Typical High
$8.13

Where Connecticut sits

The same service costs 2.9 times more in Hawaii 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.

Connecticut· 22nd of 51

$4.90

HI $9.33DC $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.