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Pinworm Examination

Massachusetts rates for HCPCS Q0113

Pinworm examinations

Rates data updated July 2026.

How much does Pinworm Examination cost?

$5.13

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $5.13 for this service. The price depends on where it is billed: about $4.27 from a physician practice, and about $10.72 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 8 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$4.27 to $6.03
FacilityA hospital or hospital-owned outpatient department$10.72$6.03 to $13.80

How much rates vary

Facilitymedian $11 · 10th to 90th $4 to $17Professionalmedian $4 · 10th to 90th $4 to $9
$10$100$1Kfacility $11professional $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
$5.13
Median
$10.23
Typical High
$14.45
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4.90
Median
$5.13
Typical High
$20.89
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$3.89
Median
$6.03
Typical High
$85.11
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$4.47
Typical High
$10.47
BCBS
Setting
Facility
Modifier
Global
Typical Low
$8.51
Median
$10.72
Typical High
$15.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3.31
Median
$7.24
Typical High
$14.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.51
Median
$4.17
Typical High
$6.17
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$6.03
Median
$56.23
Typical High
$8,511.38
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$6.03
Typical High
$7.08
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$4.27
Typical High
$7.41
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$3.89
Median
$6.03
Typical High
$85.11
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$4.47
Typical High
$10.47
United
Setting
Facility
Modifier
Global
Typical Low
$2.57
Median
$4.27
Typical High
$8.91
United
Setting
Professional
Modifier
Global
Typical Low
$3.16
Median
$4.27
Typical High
$8.13

Where Massachusetts 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.

Massachusetts· 17th of 51

$5.13

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.