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Fungal Culture Of Skin, Hair Or Nail

North Carolina 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?

$9.33

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $9.33 for this service. The price depends on where it is billed: about $7.76 from a physician practice, and about $35.48 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 7 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$7.76$6.17 to $9.55
FacilityA hospital or hospital-owned outpatient department$35.48$10.23 to $81.28

How much rates vary

Facilitymedian $35 · 10th to 90th $7 to $105Professionalmedian $8 · 10th to 90th $6 to $11
$5$10$20$50$100$200facility $35professional $8

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
$6.76
Median
$50.12
Typical High
$104.71
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.17
Median
$7.76
Typical High
$11.48
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$5.13
Median
$5.37
Typical High
$5.37
BCBS
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$20.42
Typical High
$28.84
BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$7.08
Typical High
$10.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.37
Median
$15.14
Typical High
$34.67
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$5.37
Typical High
$11.75
Medcost
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$15.14
Typical High
$30.20
Medcost
Setting
Facility
Modifier
Global
Typical Low
$6.17
Median
$6.92
Typical High
$15.14
Medcost
Setting
Professional
Modifier
Global
Typical Low
$6.17
Median
$14.45
Typical High
$15.85
United
Setting
Facility
Modifier
Global
Typical Low
$4.07
Median
$10.00
Typical High
$14.45
United
Setting
Professional
Modifier
Global
Typical Low
$3.89
Median
$5.37
Typical High
$10.72
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$100.00

Where North Carolina 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.

North Carolina· 16th of 51

$9.33

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.