The Schmidt sting pain index and Starr sting pain index are pain scales rating the relative pain caused by different hymenoptera stings. Schmidt has refined his pain index (with a 1–4 scale) with extensive anecdotal experience, culminating in a paper published in 1990 which classifies the stings of 78 species and 41 genera of Hymenoptera. The Starr sting pain scale uses the same 1–4 scale.