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Fungal Culture Of Skin, Hair Or Nail

New Mexico 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 Mexico, July 2026.

Insurers have agreed to pay about $8.91 for this service. The price depends on where it is billed: about $7.76 from a physician practice, and about $18.20 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 5 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$6.31 to $9.33
FacilityA hospital or hospital-owned outpatient department$18.20$11.48 to $48.98

How much rates vary

Facilitymedian $18 · 10th to 90th $9 to $74Professionalmedian $8 · 10th to 90th $5 to $14
$10$100$1K$10K$100Kfacility $18professional $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
$9.33
Median
$14.45
Typical High
$24.55
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$7.76
Typical High
$47.86
BCBS
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$51.29
Typical High
$83.18
BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$6.31
Typical High
$7.24
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.01
Median
$5.01
Typical High
$5.01
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$11.48
Typical High
$16.60
Providence
Setting
Facility
Modifier
Global
Typical Low
$6.92
Median
$9.33
Typical High
$12.88
Providence
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$11.75
Typical High
$19.05
United
Setting
Facility
Modifier
Global
Typical Low
$2.95
Median
$7.76
Typical High
$11.48
United
Setting
Professional
Modifier
Global
Typical Low
$3.24
Median
$4.57
Typical High
$5.75

Where New Mexico 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 Mexico· 25th 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.