go back

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 July 2026.

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

$6.92

Typical negotiated rate. In Maryland, July 2026.

Insurers have agreed to pay about $6.92 for this service. The price depends on where it is billed: about $6.92 from a physician practice, and about $67.61 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$6.92$5.75 to $9.55
FacilityA hospital or hospital-owned outpatient department$67.61$22.91 to $72.44

How much rates vary

Facilitymedian $68 · 10th to 90th $5 to $74Professionalmedian $7 · 10th to 90th $5 to $30
$5$10$20$50$100facility $68professional $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
$22.91
Median
$70.79
Typical High
$74.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.13
Median
$6.92
Typical High
$30.20
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$2.34
Median
$6.17
Typical High
$7.59
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4.07
Median
$5.37
Typical High
$10.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.17
Median
$7.76
Typical High
$19.50
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$9.33
Typical High
$14.79
United
Setting
Facility
Modifier
Global
Typical Low
$3.24
Median
$5.01
Typical High
$15.14
United
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$4.68
Typical High
$8.32
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$5.37
Typical High
$11.48

Where Maryland 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.

Maryland· 47th 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.