go back

Pinworm Examination

New Mexico rates for HCPCS Q0113

Pinworm examinations

Rates data updated July 2026.

How much does Pinworm Examination cost?

$4.57

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $4.57 for this service. The price depends on where it is billed: about $4.47 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$4.47$3.24 to $5.13
FacilityA hospital or hospital-owned outpatient department$6.46$4.07 to $8.32

How much rates vary

Facilitymedian $6 · 10th to 90th $3 to $13Professionalmedian $4 · 10th to 90th $3 to $19
$2$5$10facility $6professional $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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$6.46
Median
$12.88
Typical High
$14.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.24
Median
$5.13
Typical High
$19.05
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.75
Median
$2.75
Typical High
$2.75
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.51
Median
$2.51
Typical High
$5.75
Molina
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$4.27
Typical High
$4.47
Providence
Setting
Facility
Modifier
Global
Typical Low
$4.07
Median
$5.25
Typical High
$9.33
Providence
Setting
Professional
Modifier
Global
Typical Low
$2.51
Median
$2.51
Typical High
$5.75
United
Setting
Facility
Modifier
Global
Typical Low
$1.62
Median
$4.57
Typical High
$6.61
United
Setting
Professional
Modifier
Global
Typical Low
$2.57
Median
$4.57
Typical High
$4.79

Where New Mexico 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 Mexico· 26th of 51

$4.57

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.