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Pinworm Examination

Ohio rates for HCPCS Q0113

Pinworm examinations

Rates data updated July 2026.

How much does Pinworm Examination cost?

$5.37

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $5.37 for this service. The price depends on where it is billed: about $5.37 from a physician practice, and about $5.37 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 8 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$3.39 to $7.94
FacilityA hospital or hospital-owned outpatient department$5.37$4.27 to $8.91

How much rates vary

Facilitymedian $5 · 10th to 90th $4 to $11Professionalmedian $5 · 10th to 90th $3 to $10
$2$5$10$20facility $5professional $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
Facility
Modifier
Global
Typical Low
$4.07
Median
$7.76
Typical High
$12.59
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.39
Median
$3.39
Typical High
$12.59
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3.89
Median
$4.47
Typical High
$7.94
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2.09
Median
$6.46
Typical High
$10.23
CareSource
Setting
Facility
Modifier
Global
Typical Low
$3.24
Median
$3.24
Typical High
$4.90
CareSource
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$5.75
Typical High
$5.75
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.88
Median
$5.62
Typical High
$16.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.51
Median
$2.51
Typical High
$5.62
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$2.75
Median
$5.62
Typical High
$16.98
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$2.51
Median
$2.51
Typical High
$3.47
Molina
Setting
Professional
Modifier
Global
Typical Low
$2.34
Median
$3.55
Typical High
$5.13
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$2.75
Median
$4.47
Typical High
$8.51
United
Setting
Facility
Modifier
Global
Typical Low
$2.14
Median
$4.27
Typical High
$6.46
United
Setting
Professional
Modifier
Global
Typical Low
$2.57
Median
$4.47
Typical High
$7.59

Where Ohio 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.

Ohio· 15th of 51

$5.37

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.