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Fungal Culture Of Skin, Hair Or Nail

Kentucky 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?

$6.92

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $6.92 for this service. The price depends on where it is billed: about $6.46 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 5 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$6.46$4.68 to $7.76
FacilityA hospital or hospital-owned outpatient department$9.55$6.31 to $18.62

How much rates vary

Facilitymedian $10 · 10th to 90th $6 to $123Professionalmedian $6 · 10th to 90th $4 to $11
$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
$10.00
Typical High
$123.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$6.92
Typical High
$10.23
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6.61
Median
$7.76
Typical High
$8.13
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$3.80
Typical High
$10.72
CareSource
Setting
Facility
Modifier
Global
Typical Low
$7.76
Median
$9.33
Typical High
$10.72
CareSource
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$9.55
Typical High
$15.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6.03
Median
$14.79
Typical High
$16.22
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.98
Median
$51.29
Typical High
$51.29
United
Setting
Facility
Modifier
Global
Typical Low
$3.47
Median
$7.76
Typical High
$30.20
United
Setting
Professional
Modifier
Global
Typical Low
$3.24
Median
$6.46
Typical High
$10.72

Where Kentucky 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.

Kentucky· 48th of 51

$6.92

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.