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Fungal Culture Of Skin, Hair Or Nail

Maryland 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 October 2026.

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

$5.75

Typical negotiated rate. In Maryland, October 2026.

Insurers have agreed to pay about $5.75 for this service. Most negotiated rates run $5.13 to $6.17.

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.

How much rates vary

Facilitymedian $5 · 10th to 90th $4 to $15Professionalmedian $6 · 10th to 90th $4 to $9
$5$10facility $5professional $6

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$5.75
Median
$5.75
Typical High
$7.41
CareFirst
Setting
Professional
Modifier
None
Typical Low
$5.50
Median
$6.17
Typical High
$6.92
Cigna
Setting
Facility
Modifier
None
Typical Low
$4.07
Median
$5.37
Typical High
$10.00
Cigna
Setting
Professional
Modifier
None
Typical Low
$4.07
Median
$7.76
Typical High
$19.50
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$7.76
Median
$8.91
Typical High
$14.79
United
Setting
Facility
Modifier
None
Typical Low
$15.14
Median
$15.14
Typical High
$15.14
United
Setting
Professional
Modifier
None
Typical Low
$3.47
Median
$4.47
Typical High
$6.61
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$3.02
Median
$7.59
Typical High
$7.59
2 more rates with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$2.88
Median
$2.88
Typical High
$2.88
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$1.12
Median
$1.15
Typical High
$1.15

Where Maryland sits

The same service costs 3.2 times more in Alaska than in Maryland. 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.

Maryland· 51st of 51

$5.75

AK $18.20MD $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.