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Fungal Culture Of Skin, Hair Or Nail

South Dakota 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?

$9.33

Typical negotiated rate. In South Dakota, October 2026.

Insurers have agreed to pay about $9.33 for this service. The price depends on where it is billed: about $9.12 from a physician practice, and about $11.75 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$9.12$6.03 to $15.85
FacilityA hospital or hospital-owned outpatient department$11.75$8.71 to $15.14

How much rates vary

Facilitymedian $12 · 10th to 90th $7 to $30Professionalmedian $9 · 10th to 90th $5 to $19
$5$10$20$50$100facility $12professional $9

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$5.37
Median
$5.37
Typical High
$8.71
Aetna
Setting
Professional
Modifier
None
Typical Low
$5.13
Median
$6.03
Typical High
$10.47
Cigna
Setting
Facility
Modifier
None
Typical Low
$15.14
Median
$15.14
Typical High
$15.14
Cigna
Setting
Professional
Modifier
None
Typical Low
$9.12
Median
$15.14
Typical High
$19.05
Medica
Setting
Facility
Modifier
None
Typical Low
$7.41
Median
$8.71
Typical High
$30.90
Medica
Setting
Professional
Modifier
None
Typical Low
$4.68
Median
$6.92
Typical High
$10.72
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$12.59
Median
$18.20
Typical High
$21.38
United
Setting
Professional
Modifier
None
Typical Low
$3.24
Median
$5.37
Typical High
$9.33
Wellmark
Setting
Professional
Modifier
None
Typical Low
$7.76
Median
$7.76
Typical High
$7.76

Where South Dakota 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.

South Dakota· 14th of 51

$9.33

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.