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Fungal Culture Of Skin, Hair Or Nail

West 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 West Virginia, July 2026.

Insurers have agreed to pay about $7.24 for this service. The price depends on where it is billed: about $6.17 from a physician practice, and about $102 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 5 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$6.17$5.75 to $7.24
FacilityA hospital or hospital-owned outpatient department$102$11.48 to $120

How much rates vary

Facilitymedian $102 · 10th to 90th $6 to $120Professionalmedian $6 · 10th to 90th $5 to $9
$5$10$20$50$100facility $102professional $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
$6.31
Median
$102.33
Typical High
$120.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$6.31
Typical High
$9.33
CareSource
Setting
Facility
Modifier
Global
Typical Low
$10.47
Median
$10.47
Typical High
$10.47
CareSource
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$9.33
Typical High
$9.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6.46
Median
$14.79
Typical High
$22.91
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.37
Median
$14.79
Typical High
$51.29
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$32.36
Median
$64.57
Typical High
$162.18
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$4.68
Typical High
$4.68
United
Setting
Facility
Modifier
Global
Typical Low
$3.24
Median
$3.24
Typical High
$8.91
United
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$4.68
Typical High
$10.72

Where West 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.

West Virginia· 44th 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.