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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 July 2026.

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

$17.38

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $17.38 for this service. The price depends on where it is billed: about $13.80 from a physician practice, and about $51.29 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$13.80$6.92 to $53.70
FacilityA hospital or hospital-owned outpatient department$51.29$51.29 to $123

How much rates vary

Facilitymedian $51 · 10th to 90th $15 to $138Professionalmedian $14 · 10th to 90th $5 to $54
$5$10$20$50$100$200facility $51professional $14

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
$51.29
Median
$69.18
Typical High
$371.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.13
Median
$9.33
Typical High
$53.70
Avera
Setting
Facility
Modifier
Global
Typical Low
$7.08
Median
$7.76
Typical High
$11.48
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$15.14
Typical High
$15.14
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$15.14
Typical High
$19.05
Medica
Setting
Facility
Modifier
Global
Typical Low
$7.24
Median
$11.75
Typical High
$30.90
Medica
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$5.37
Typical High
$10.72
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$18.62
Typical High
$21.38
United
Setting
Facility
Modifier
Global
Typical Low
$9.33
Median
$9.33
Typical High
$9.33
United
Setting
Professional
Modifier
Global
Typical Low
$3.24
Median
$6.92
Typical High
$13.49
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$7.76
Typical High
$7.76

Where South Dakota 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.

South Dakota· 4th of 51

$17.38

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.