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Pinworm Examination

Vermont rates for HCPCS Q0113

Pinworm examinations

Rates data updated July 2026.

How much does Pinworm Examination cost?

$8.13

Typical negotiated rate. In Vermont, July 2026.

Insurers have agreed to pay about $8.13 for this service. The price depends on where it is billed: about $8.13 from a physician practice, and about $4.27 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$8.13$8.13 to $8.13
FacilityA hospital or hospital-owned outpatient department$4.27$1.48 to $7.08

How much rates vary

Facilitymedian $4 · 10th to 90th $1 to $7Professionalmedian $8 · 10th to 90th $4 to $8
$2$5$10facility $4professional $8

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
Professional
Modifier
Global
Typical Low
$8.13
Median
$8.13
Typical High
$8.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.08
Median
$7.08
Typical High
$7.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.51
Median
$2.51
Typical High
$5.62
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$4.27
Median
$4.27
Typical High
$4.27
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$2.75
Median
$2.75
Typical High
$2.75
United
Setting
Facility
Modifier
Global
Typical Low
$1.48
Median
$1.48
Typical High
$1.48
United
Setting
Professional
Modifier
Global
Typical Low
$2.75
Median
$6.46
Typical High
$11.48

Where Vermont 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.

Vermont· 3rd of 51

$8.13

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.