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Pinworm Examination

Georgia rates for HCPCS Q0113

Pinworm examinations

Rates data updated July 2026.

How much does Pinworm Examination cost?

$3.89

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $3.89 for this service. The price depends on where it is billed: about $3.63 from a physician practice, and about $5.01 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 6 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$3.63$2.82 to $4.79
FacilityA hospital or hospital-owned outpatient department$5.01$3.80 to $6.03

How much rates vary

Facilitymedian $5 · 10th to 90th $3 to $10Professionalmedian $4 · 10th to 90th $2 to $8
$2$5$10$20facility $5professional $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
$2.82
Median
$6.03
Typical High
$13.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.82
Median
$3.31
Typical High
$4.07
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3.39
Median
$4.90
Typical High
$7.59
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2.09
Median
$5.75
Typical High
$8.91
CareSource
Setting
Facility
Modifier
Global
Typical Low
$3.24
Median
$3.24
Typical High
$3.24
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.01
Median
$9.33
Typical High
$22.39
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.51
Median
$2.51
Typical High
$6.17
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$4.68
Typical High
$47.86
United
Setting
Facility
Modifier
Global
Typical Low
$3.09
Median
$3.80
Typical High
$5.13
United
Setting
Professional
Modifier
Global
Typical Low
$2.57
Median
$4.27
Typical High
$7.94

Where Georgia 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.

Georgia· 43rd of 51

$3.89

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.