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Pinworm Examination

Rhode Island rates for HCPCS Q0113

Pinworm examinations

Rates data updated July 2026.

How much does Pinworm Examination cost?

$6.31

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $6.31 for this service. The price depends on where it is billed: about $5.62 from a physician practice, and about $16.22 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 4 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$5.62$5.62 to $6.31
FacilityA hospital or hospital-owned outpatient department$16.22$7.41 to $24.55

How much rates vary

Facilitymedian $16 · 10th to 90th $5 to $35Professionalmedian $6 · 10th to 90th $5 to $9
$5$10$20facility $16professional $6

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
$8.91
Median
$21.88
Typical High
$34.67
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.62
Median
$5.62
Typical High
$16.22
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4.47
Median
$5.25
Typical High
$10.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$6.31
Typical High
$8.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$12.88
Median
$13.18
Typical High
$22.91
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.51
Median
$4.47
Typical High
$6.03
United
Setting
Facility
Modifier
Global
Typical Low
$5.13
Median
$5.13
Typical High
$10.72
United
Setting
Professional
Modifier
Global
Typical Low
$2.57
Median
$5.89
Typical High
$10.72

Where Rhode Island 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.

Rhode Island· 8th of 51

$6.31

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.