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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 July 2026.

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

$8.91

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $8.91 for this service. The price depends on where it is billed: about $6.92 from a physician practice, and about $17.78 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$6.92$6.03 to $9.33
FacilityA hospital or hospital-owned outpatient department$17.78$12.02 to $46.77

How much rates vary

Facilitymedian $18 · 10th to 90th $8 to $105Professionalmedian $7 · 10th to 90th $5 to $19
$10$100$1K$10Kfacility $18professional $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
$9.77
Median
$16.98
Typical High
$53.70
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$6.92
Typical High
$19.50
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$4.57
Median
$4.57
Typical High
$5.37
AmeriHealth
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$51.29
Typical High
$1,737.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8.91
Median
$17.38
Typical High
$35.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$7.41
Typical High
$21.38
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$3.09
Median
$3.89
Typical High
$8.71
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$7.76
Median
$10,471.29
Typical High
$23,988.33
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$6.76
Typical High
$8.71
United
Setting
Facility
Modifier
Global
Typical Low
$3.63
Median
$7.76
Typical High
$16.98
United
Setting
Professional
Modifier
Global
Typical Low
$3.24
Median
$4.68
Typical High
$11.22

Where New Jersey 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.

New Jersey· 22nd of 51

$8.91

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.