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Pinworm Examination

Virginia rates for HCPCS Q0113

Pinworm examinations

Rates data updated July 2026.

How much does Pinworm Examination cost?

$4.07

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $4.07 for this service. The price depends on where it is billed: about $3.24 from a physician practice, and about $5.50 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$3.24$3.24 to $4.07
FacilityA hospital or hospital-owned outpatient department$5.50$4.27 to $10.96

How much rates vary

Facilitymedian $5 · 10th to 90th $4 to $24Professionalmedian $3 · 10th to 90th $2 to $10
$10$100$1K$10Kfacility $5professional $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
$4.07
Median
$10.47
Typical High
$32.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.24
Median
$3.31
Typical High
$8.13
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4.27
Median
$4.27
Typical High
$16.98
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2.09
Median
$2.09
Typical High
$3.24
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$27.54
Typical High
$38.02
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4.37
Median
$13.80
Typical High
$21.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.51
Median
$2.51
Typical High
$4.17
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$5.13
Typical High
$6.31
Medcost
Setting
Professional
Modifier
Global
Typical Low
$3.89
Median
$7.59
Typical High
$10.47
Medcost
Setting
Facility
Modifier
Global
Typical Low
$4.27
Median
$5.50
Typical High
$7.59
Medcost
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$3.47
Typical High
$8.91
Sentara
Setting
Facility
Modifier
Global
Typical Low
$3.31
Median
$7.59
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$3.31
Median
$7.59
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$1.78
Median
$4.27
Typical High
$9.33
United
Setting
Professional
Modifier
Global
Typical Low
$2.57
Median
$4.47
Typical High
$7.59

Where Virginia 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.

Virginia· 40th 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.