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Fungal Culture Of Skin, Hair Or Nail

Montana 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?

$11.22

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $11.22 for this service. The price depends on where it is billed: about $10.23 from a physician practice, and about $13.18 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$10.23$6.92 to $11.22
FacilityA hospital or hospital-owned outpatient department$13.18$11.22 to $15.14

How much rates vary

Facilitymedian $13 · 10th to 90th $10 to $18Professionalmedian $10 · 10th to 90th $3 to $13
$5$10$20$50facility $13professional $10

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$53.70
Median
$53.70
Typical High
$60.26
Aetna
Setting
Professional
Modifier
None
Typical Low
$7.76
Median
$9.33
Typical High
$11.48
BCBS Montana
Setting
Facility
Modifier
None
Typical Low
$10.23
Median
$10.23
Typical High
$26.92
BCBS Montana
Setting
Professional
Modifier
None
Typical Low
$10.23
Median
$10.23
Typical High
$10.23
Cigna
Setting
Facility
Modifier
None
Typical Low
$11.22
Median
$11.48
Typical High
$22.91
Cigna
Setting
Professional
Modifier
None
Typical Low
$9.12
Median
$11.22
Typical High
$11.22
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$9.55
Median
$13.18
Typical High
$17.78
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$10.47
Median
$11.48
Typical High
$14.13
Providence
Setting
Facility
Modifier
None
Typical Low
$11.22
Median
$11.22
Typical High
$22.91
Providence
Setting
Professional
Modifier
None
Typical Low
$6.92
Median
$6.92
Typical High
$11.22
United
Setting
Professional
Modifier
None
Typical Low
$3.24
Median
$3.24
Typical High
$7.76

Where Montana 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.

Montana· 9th of 51

$11.22

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.