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Pinworm Examination

Pennsylvania rates for HCPCS Q0113

Pinworm examinations

Rates data updated July 2026.

How much does Pinworm Examination cost?

$4.07

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $4.07 for this service. The price depends on where it is billed: about $3.47 from a physician practice, and about $8.91 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$3.47$3.39 to $4.17
FacilityA hospital or hospital-owned outpatient department$8.91$5.25 to $12.59

How much rates vary

Facilitymedian $9 · 10th to 90th $4 to $29Professionalmedian $3 · 10th to 90th $3 to $9
$5$10$20$50facility $9professional $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
$8.91
Typical High
$18.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.39
Median
$3.47
Typical High
$10.72
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$38.90
Typical High
$8,511.38
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$3.31
Median
$3.31
Typical High
$4.79
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3.09
Median
$6.46
Typical High
$14.45
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.51
Median
$2.51
Typical High
$2.51
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$2.00
Median
$2.51
Typical High
$6.17
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$4.27
Median
$4.27
Typical High
$4.27
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$5.62
Typical High
$7.59
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$4.57
Median
$10.72
Typical High
$25.12
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$3.39
Median
$3.47
Typical High
$15.14
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$7.08
Median
$23.99
Typical High
$61.66
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$4.27
Typical High
$7.08
United
Setting
Facility
Modifier
Global
Typical Low
$2.34
Median
$4.27
Typical High
$5.13
United
Setting
Professional
Modifier
Global
Typical Low
$2.57
Median
$4.47
Typical High
$8.13

Where Pennsylvania 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.

Pennsylvania· 41st of 51

$4.07

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.