go back

Pinworm Examination

New York rates for HCPCS Q0113

Pinworm examinations

Rates data updated July 2026.

How much does Pinworm Examination cost?

$4.68

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $4.68 for this service. The price depends on where it is billed: about $3.47 from a physician practice, and about $7.59 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 9 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$3.47$2.14 to $5.50
FacilityA hospital or hospital-owned outpatient department$7.59$4.90 to $10.72

How much rates vary

Facilitymedian $8 · 10th to 90th $4 to $13Professionalmedian $3 · 10th to 90th $2 to $11
$2$5$10$20facility $8professional $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
$3.63
Median
$7.76
Typical High
$12.59
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.31
Median
$3.63
Typical High
$11.22
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4.27
Median
$4.27
Typical High
$11.22
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2.09
Median
$2.34
Typical High
$11.75
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$4.27
Median
$4.27
Typical High
$4.27
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$3.09
Median
$4.27
Typical High
$4.27
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4.17
Median
$8.91
Typical High
$10.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.51
Median
$2.51
Typical High
$20.42
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$4.27
Median
$6.46
Typical High
$16.22
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$2.00
Median
$2.57
Typical High
$8.32
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.48
Median
$4.27
Typical High
$5.50
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$5.50
Median
$8.13
Typical High
$50,118.72
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$2.75
Median
$4.27
Typical High
$9.12
United
Setting
Facility
Modifier
Global
Typical Low
$3.80
Median
$5.13
Typical High
$7.94
United
Setting
Professional
Modifier
Global
Typical Low
$1.91
Median
$3.80
Typical High
$9.55
Univera
Setting
Facility
Modifier
Global
Typical Low
$3.63
Median
$4.27
Typical High
$4.90
Univera
Setting
Professional
Modifier
Global
Typical Low
$1.51
Median
$4.27
Typical High
$5.50

Where New York 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 York· 24th of 51

$4.68

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.