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Fungal Culture Of Skin, Hair Or Nail

Virginia 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?

$7.24

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $7.24 for this service. The price depends on where it is billed: about $6.03 from a physician practice, and about $14.13 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 8 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$6.03$5.75 to $7.24
FacilityA hospital or hospital-owned outpatient department$14.13$7.76 to $38.90

How much rates vary

Facilitymedian $14 · 10th to 90th $7 to $129Professionalmedian $6 · 10th to 90th $4 to $17
$10$100$1K$10Kfacility $14professional $6

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
$7.24
Median
$21.38
Typical High
$190.55
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$6.31
Typical High
$14.79
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$7.76
Median
$7.76
Typical High
$30.90
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$3.80
Typical High
$5.89
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$38.90
Typical High
$53.70
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.76
Median
$19.50
Typical High
$35.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$5.62
Typical High
$13.18
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$9.33
Typical High
$11.48
Medcost
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$12.88
Typical High
$15.14
Medcost
Setting
Facility
Modifier
Global
Typical Low
$6.92
Median
$6.92
Typical High
$12.30
Medcost
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$12.88
Typical High
$16.22
Sentara
Setting
Facility
Modifier
Global
Typical Low
$6.92
Median
$11.22
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$10.96
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$3.24
Median
$7.76
Typical High
$13.18
United
Setting
Professional
Modifier
Global
Typical Low
$3.24
Median
$4.68
Typical High
$8.13

Where Virginia 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.

Virginia· 42nd of 51

$7.24

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.