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Pinworm Examination

Illinois rates for HCPCS Q0113

Pinworm examinations

Rates data updated July 2026.

How much does Pinworm Examination cost?

$5.37

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $5.37 for this service. The price depends on where it is billed: about $4.27 from a physician practice, and about $7.08 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$4.27$3.47 to $7.41
FacilityA hospital or hospital-owned outpatient department$7.08$4.37 to $10.72

How much rates vary

Facilitymedian $7 · 10th to 90th $4 to $21Professionalmedian $4 · 10th to 90th $3 to $11
$5$10$20$50$100facility $7professional $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
$3.47
Median
$6.76
Typical High
$11.75
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.31
Median
$3.63
Typical High
$8.71
BCBS
Setting
Facility
Modifier
Global
Typical Low
$5.75
Median
$16.60
Typical High
$47.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.62
Median
$10.96
Typical High
$19.50
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.51
Median
$2.51
Typical High
$6.17
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$4.47
Median
$10.47
Typical High
$32.36
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$5.50
Median
$5.50
Typical High
$5.50
Molina
Setting
Professional
Modifier
Global
Typical Low
$2.34
Median
$2.34
Typical High
$2.34
United
Setting
Facility
Modifier
Global
Typical Low
$3.39
Median
$4.27
Typical High
$8.51
United
Setting
Professional
Modifier
Global
Typical Low
$2.57
Median
$4.57
Typical High
$7.76

Where Illinois 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.

Illinois· 16th of 51

$5.37

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.