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Fungal Culture Of Skin, Hair Or Nail

New Jersey 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?

$6.61

Typical negotiated rate. In New Jersey, October 2026.

Insurers have agreed to pay about $6.61 for this service. The price depends on where it is billed: about $5.89 from a physician practice, and about $21.38 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$5.89$5.37 to $6.92
FacilityA hospital or hospital-owned outpatient department$21.38$7.08 to $53.70

How much rates vary

Facilitymedian $21 · 10th to 90th $6 to $1,047Professionalmedian $6 · 10th to 90th $4 to $9
$5$20$100$500$2Kfacility $21professional $6

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
$6.03
Median
$6.92
Typical High
$13.80
Aetna
Setting
Professional
Modifier
None
Typical Low
$5.75
Median
$6.17
Typical High
$9.33
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$3.02
Median
$3.02
Typical High
$4.47
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$1.20
Median
$1.20
Typical High
$1.78
Ambetter
Setting
Professional
Modifier
None
Typical Low
$4.68
Median
$4.68
Typical High
$4.68
AmeriHealth
Setting
Facility
Modifier
None
Typical Low
$21.38
Median
$83.18
Typical High
$1,819.70
Cigna
Setting
Facility
Modifier
None
Typical Low
$7.59
Median
$17.38
Typical High
$37.15
Cigna
Setting
Professional
Modifier
None
Typical Low
$4.27
Median
$7.41
Typical High
$15.49
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$3.09
Median
$3.89
Typical High
$7.76
Horizon BCBS
Setting
Facility
Modifier
None
Typical Low
$7.08
Median
$56.23
Typical High
$151.36
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$5.37
Median
$5.37
Typical High
$5.37
United
Setting
Facility
Modifier
None
Typical Low
$6.92
Median
$6.92
Typical High
$15.14
United
Setting
Professional
Modifier
None
Typical Low
$3.24
Median
$4.68
Typical High
$8.32

Where New Jersey 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.

New Jersey· 41st of 51

$6.61

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.