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Pinworm Examination

Montana rates for HCPCS Q0113

Pinworm examinations

Rates data updated July 2026.

How much does Pinworm Examination cost?

$5.50

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $5.50 for this service. The price depends on where it is billed: about $5.37 from a physician practice, and about $6.46 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$5.37$4.90 to $12.88
FacilityA hospital or hospital-owned outpatient department$6.46$5.37 to $8.32

How much rates vary

Facilitymedian $6 · 10th to 90th $4 to $13Professionalmedian $5 · 10th to 90th $4 to $19
$5$10$20facility $6professional $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
Professional
Modifier
Global
Typical Low
$4.90
Median
$4.90
Typical High
$19.05
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6.17
Median
$8.32
Typical High
$24.55
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.47
Median
$5.62
Typical High
$6.17
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$4.27
Median
$5.75
Typical High
$13.18
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$5.75
Typical High
$13.18
Providence
Setting
Facility
Modifier
Global
Typical Low
$6.17
Median
$8.32
Typical High
$24.55
Providence
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$4.27
Typical High
$6.17
United
Setting
Professional
Modifier
Global
Typical Low
$2.57
Median
$4.27
Typical High
$7.41

Where Montana 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.

Montana· 12th of 51

$5.50

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.