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Fungal Culture Of Skin, Hair Or Nail

Illinois 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?

$7.94

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $7.94 for this service. The price depends on where it is billed: about $6.61 from a physician practice, and about $13.49 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$6.61$5.89 to $9.33
FacilityA hospital or hospital-owned outpatient department$13.49$9.33 to $20.42

How much rates vary

Facilitymedian $13 · 10th to 90th $8 to $54Professionalmedian $7 · 10th to 90th $3 to $16
$5$10$20$50$100facility $13professional $7

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
$6.61
Median
$12.88
Typical High
$51.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$6.92
Typical High
$15.85
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$4.68
Typical High
$10.47
BCBS
Setting
Facility
Modifier
Global
Typical Low
$10.47
Median
$20.42
Typical High
$79.43
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$5.37
Typical High
$5.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8.71
Median
$18.20
Typical High
$35.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$9.12
Typical High
$14.13
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$15.49
Typical High
$125.89
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$10.00
Typical High
$10.00
Molina
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$4.27
Typical High
$9.55
United
Setting
Facility
Modifier
Global
Typical Low
$5.62
Median
$7.76
Typical High
$15.49
United
Setting
Professional
Modifier
Global
Typical Low
$3.24
Median
$5.75
Typical High
$8.32

Where Illinois 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.

Illinois· 29th of 51

$7.94

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.