go back

Pennsylvania rates for HCPCS 87101

Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; skin, hair, or nail

Facilitymedian $26 · 10th–90th $8$850%10%10th90th$26Professionalmedian $7 · 10th–90th $5$280%20%10th90th$7$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $27.54 / $85.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $6.92 / $40.74
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.68 / $4.68 / $4.68
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $37.15 / $1,288.25
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40.74 / $53.70 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $6.03 / $6.76
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.50 / $12.02 / $26.92
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.47 / $10.00 / $18.62
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $7.76 / $11.22
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.76 / $7.76 / $7.76
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $8.51 / $13.49
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $22.39 / $53.70
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.68 / $5.13 / $7.59
Independence Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.32 / $31.62 / $74.13
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.37 / $11.75 / $22.39
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $6.03 / $10.72
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.55 / $9.12 / $13.80
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $11.22 / $27.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.47 / $7.76 / $9.33
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $5.75 / $13.49