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Texas rates for HCPCS 87101

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

Facilitymedian $19 · 10th–90th $6$810%5%10th90th$19Professionalmedian $7 · 10th–90th $4$140%10%10th90th$7$2.0$10.0$50.0$200.0

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
$5.37 / $25.12 / $97.72
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.47 / $6.92 / $16.22
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.72 / $5.37 / $5.37
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.23 / $26.30 / $45.71
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.27 / $5.01 / $7.76
Baylor Scott & White
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $12.02 / $56.23
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.59 / $7.59 / $7.76
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.91 / $16.98 / $41.69
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.47 / $5.62 / $13.18
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60.26 / $60.26 / $100.00
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $15.14
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.75 / $7.76 / $38.90
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $6.92 / $14.13
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $6.46 / $6.46
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.17 / $7.76 / $22.39
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.47 / $5.62 / $12.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.47 / $7.76 / $9.33
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.24 / $4.47 / $8.32
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.98 / $7.76