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Fungal Culture Of Skin, Hair Or Nail

Massachusetts 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.

Facilitymedian $22 · 10th–90th $9$1000%10%10th90th$22Professionalmedian $7 · 10th–90th $5$170%20%40%10th90th$7$2.0$10.0$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$10.47
Median
$22.39
Typical High
$147.91
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4.47
Median
$6.92
Typical High
$16.98
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$7.08
Median
$10.96
Typical High
$100.00
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$7.76
Typical High
$18.62
BCBS
Setting
Facility
Modifier
Global
Typical Low
$14.79
Median
$18.62
Typical High
$29.51
BCBS
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$7.24
Typical High
$9.77
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6.03
Median
$12.30
Typical High
$29.51
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$9.12
Typical High
$19.95
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$41.69
Typical High
$7,079.46
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$11.22
Typical High
$13.18
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$7.76
Typical High
$20.89
Health New England
Setting
Facility
Modifier
Global
Typical Low
$7.24
Median
$10.00
Typical High
$102.33
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$7.08
Median
$10.96
Typical High
$100.00
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$7.76
Typical High
$18.62
United
Setting
Facility
Modifier
Global
Typical Low
$4.47
Median
$7.76
Typical High
$12.59
United
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$7.76
Typical High
$20.89