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Fungal Culture Of Skin, Hair Or Nail

Rhode Island 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 Rhode Island, July 2026.

Insurers have agreed to pay about $8.91 for this service. The price depends on where it is billed: about $7.94 from a physician practice, and about $22.91 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 4 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$7.94$5.75 to $7.94
FacilityA hospital or hospital-owned outpatient department$22.91$10.47 to $47.86

How much rates vary

Facilitymedian $23 · 10th to 90th $9 to $49Professionalmedian $8 · 10th to 90th $5 to $15
$5$10$20$50$100facility $23professional $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
$22.91
Median
$44.67
Typical High
$50.12
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$7.94
Typical High
$7.94
BCBS
Setting
Facility
Modifier
Global
Typical Low
$8.91
Median
$9.33
Typical High
$15.49
BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.37
Median
$5.75
Typical High
$13.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.24
Median
$18.20
Typical High
$32.36
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.50
Median
$8.51
Typical High
$11.75
United
Setting
Facility
Modifier
Global
Typical Low
$9.33
Median
$9.33
Typical High
$15.49
United
Setting
Professional
Modifier
Global
Typical Low
$4.37
Median
$8.32
Typical High
$15.14

Where Rhode Island 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.

Rhode Island· 23rd 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.