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Pinworm Examination

New Jersey rates for HCPCS Q0113

Pinworm examinations

Rates data updated July 2026.

How much does Pinworm Examination cost?

$5.75

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $5.75 for this service. The price depends on where it is billed: about $3.80 from a physician practice, and about $10.47 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$3.80$3.24 to $5.75
FacilityA hospital or hospital-owned outpatient department$10.47$8.13 to $26.30

How much rates vary

Facilitymedian $10 · 10th to 90th $5 to $2,951Professionalmedian $4 · 10th to 90th $3 to $10
$10$100$1K$10Kfacility $10professional $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
$5.50
Median
$10.47
Typical High
$53.70
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.24
Median
$4.17
Typical High
$13.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4.17
Median
$9.33
Typical High
$19.50
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.51
Median
$2.51
Typical High
$4.90
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1.70
Median
$2.00
Typical High
$2.51
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$8,709.64
Typical High
$20,417.38
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$3.02
Typical High
$3.02
United
Setting
Facility
Modifier
Global
Typical Low
$2.00
Median
$4.27
Typical High
$8.71
United
Setting
Professional
Modifier
Global
Typical Low
$1.91
Median
$2.57
Typical High
$7.59

Where New Jersey 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.

New Jersey· 10th of 51

$5.75

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.