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Fungal Culture of a Blood Sample

Pennsylvania rates for HCPCS 87103

A laboratory test in which a blood sample is kept in conditions that encourage fungi and yeasts to grow, to find out whether a fungal infection has reached the bloodstream. Anything that grows is then identified so treatment can be directed at it.

Rates data updated July 2026.

How much does Fungal Culture of a Blood Sample cost?

$19.95

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $19.95 for this service. The price depends on where it is billed: about $16.60 from a physician practice, and about $43.65 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 9 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$16.60$15.85 to $19.05
FacilityA hospital or hospital-owned outpatient department$43.65$23.44 to $60.26

How much rates vary

Facilitymedian $44 · 10th to 90th $17 to $76Professionalmedian $17 · 10th to 90th $8 to $32
$10$20$50$100$200facility $44professional $17

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
$17.38
Median
$43.65
Typical High
$85.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$16.60
Typical High
$39.81
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$64.57
Typical High
$8,511.38
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$15.85
Typical High
$15.85
Cigna
Setting
Facility
Modifier
Global
Typical Low
$13.49
Median
$27.54
Typical High
$60.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.50
Median
$15.49
Typical High
$30.20
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$11.48
Typical High
$29.51
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$20.42
Median
$20.42
Typical High
$20.42
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$14.45
Typical High
$35.48
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$10.23
Median
$39.81
Typical High
$53.70
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$13.49
Typical High
$13.49
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$16.60
Median
$43.65
Typical High
$85.11
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$16.60
Typical High
$51.29
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$44.67
Typical High
$66.07
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$18.20
Typical High
$20.42
United
Setting
Facility
Modifier
Global
Typical Low
$8.13
Median
$20.42
Typical High
$24.55
United
Setting
Professional
Modifier
Global
Typical Low
$6.31
Median
$12.30
Typical High
$25.70

Where Pennsylvania sits

The same service costs 4.9 times more in Oklahoma than in Connecticut. 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.

Pennsylvania· 27th of 51

$19.95

OK $51.29CT $10.47

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.