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Pinworm Examination

North Carolina rates for HCPCS Q0113

Pinworm examinations

Rates data updated July 2026.

How much does Pinworm Examination cost?

$3.39

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $3.39 for this service. The price depends on where it is billed: about $3.39 from a physician practice, and about $5.50 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$3.39$3.39 to $3.80
FacilityA hospital or hospital-owned outpatient department$5.50$3.63 to $10.23

How much rates vary

Facilitymedian $5 · 10th to 90th $3 to $14Professionalmedian $3 · 10th to 90th $3 to $7
$2$5$10$20$50facility $5professional $3

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
$3.39
Median
$4.47
Typical High
$14.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.39
Median
$3.39
Typical High
$7.08
BCBS
Setting
Facility
Modifier
Global
Typical Low
$9.12
Median
$12.30
Typical High
$12.30
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.24
Median
$3.89
Typical High
$4.27
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3.55
Median
$8.13
Typical High
$19.50
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.51
Median
$3.63
Typical High
$6.17
Medcost
Setting
Professional
Modifier
Global
Typical Low
$3.89
Median
$3.89
Typical High
$3.89
Medcost
Setting
Facility
Modifier
Global
Typical Low
$3.39
Median
$5.50
Typical High
$5.89
Medcost
Setting
Professional
Modifier
Global
Typical Low
$2.75
Median
$2.75
Typical High
$3.24
United
Setting
Facility
Modifier
Global
Typical Low
$2.82
Median
$5.62
Typical High
$9.55
United
Setting
Professional
Modifier
Global
Typical Low
$2.57
Median
$2.95
Typical High
$6.76
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$85.11

Where North Carolina 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.

North Carolina· 47th of 51

$3.39

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.