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Pinworm Examination

South Dakota rates for HCPCS Q0113

Pinworm examinations

Rates data updated July 2026.

How much does Pinworm Examination cost?

$4.47

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $4.47 for this service. The price depends on where it is billed: about $4.47 from a physician practice, and about $4.90 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 7 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$3.98 to $7.59
FacilityA hospital or hospital-owned outpatient department$4.90$4.79 to $6.76

How much rates vary

Facilitymedian $5 · 10th to 90th $3 to $16Professionalmedian $4 · 10th to 90th $3 to $12
$5$10$20$50facility $5professional $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
$3.02
Median
$4.90
Typical High
$4.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.88
Median
$3.31
Typical High
$3.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.47
Median
$4.47
Typical High
$5.62
Medica
Setting
Facility
Modifier
Global
Typical Low
$4.07
Median
$6.76
Typical High
$85.11
Medica
Setting
Professional
Modifier
Global
Typical Low
$2.57
Median
$5.89
Typical High
$7.59
Midlands
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$7.94
Typical High
$7.94
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$10.23
Typical High
$14.79
United
Setting
Facility
Modifier
Global
Typical Low
$5.13
Median
$5.13
Typical High
$5.13
United
Setting
Professional
Modifier
Global
Typical Low
$2.57
Median
$4.90
Typical High
$7.59
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$4.27
Typical High
$4.27

Where South Dakota 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.

South Dakota· 29th of 51

$4.47

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.