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Fungal Culture Of Skin, Hair Or Nail

Indiana 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?

$7.24

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $7.24 for this service. The price depends on where it is billed: about $6.31 from a physician practice, and about $9.55 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 6 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$6.31$5.62 to $6.92
FacilityA hospital or hospital-owned outpatient department$9.55$7.76 to $21.88

How much rates vary

Facilitymedian $10 · 10th to 90th $8 to $87Professionalmedian $6 · 10th to 90th $4 to $9
$5$10$20$50$100$200facility $10professional $6

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
$6.31
Median
$13.49
Typical High
$154.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.17
Median
$6.31
Typical High
$8.71
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$4.68
Typical High
$5.37
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$7.76
Median
$7.76
Typical High
$22.91
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$3.80
Typical High
$7.76
CareSource
Setting
Facility
Modifier
Global
Typical Low
$9.55
Median
$9.55
Typical High
$9.55
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6.17
Median
$7.76
Typical High
$17.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$6.92
Typical High
$20.89
United
Setting
Facility
Modifier
Global
Typical Low
$5.25
Median
$7.76
Typical High
$9.33
United
Setting
Professional
Modifier
Global
Typical Low
$3.24
Median
$5.89
Typical High
$8.51

Where Indiana 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.

Indiana· 45th of 51

$7.24

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.