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Fungal Culture Of Skin, Hair Or Nail

Iowa rates for HCPCS 87101

A scraping or clipping of skin, hair or nail is placed on a growth medium in the laboratory to see whether a fungus grows, and anything that grows is given a preliminary identification. It is used to confirm conditions such as ringworm, athlete's foot or a fungal nail infection before treatment is started. Fungi grow slowly, so results take longer than a bacterial culture.

Rates data updated July 2026.

How much does Fungal Culture Of Skin, Hair Or Nail cost?

$18.62

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $18.62 for this service. The price depends on where it is billed: about $19.05 from a physician practice, and about $18.20 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$19.05$7.76 to $47.86
FacilityA hospital or hospital-owned outpatient department$18.20$11.22 to $22.39

How much rates vary

Facilitymedian $18 · 10th to 90th $8 to $93Professionalmedian $19 · 10th to 90th $6 to $50
$5$10$20$50$100facility $18professional $19

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
$7.76
Median
$20.42
Typical High
$93.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$20.42
Typical High
$50.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$15.14
Typical High
$19.05
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$19.05
Typical High
$56.23
Medica
Setting
Facility
Modifier
Global
Typical Low
$7.76
Median
$10.00
Typical High
$23.99
Medica
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$9.33
Typical High
$19.95
Midlands
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$10.23
Typical High
$37.15
Midlands
Setting
Facility
Modifier
Global
Typical Low
$9.33
Median
$9.33
Typical High
$9.33
United
Setting
Facility
Modifier
Global
Typical Low
$7.76
Median
$7.76
Typical High
$17.78
United
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$6.46
Typical High
$19.50
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$7.76
Typical High
$7.76

Where Iowa sits

The same service costs 3.9 times more in South Carolina 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.

Iowa· 2nd of 51

$18.62

SC $22.39DC $5.75

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.