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Skin, Hair, Or Nail Sample Exam For Fungus Or Mites

Illinois rates for HCPCS 87220

A small sample of skin, hair, or nail is treated with a special solution and examined directly under a microscope to look for fungal infection or tiny parasites such as scabies mites. Results are typically available quickly since the sample is examined right away rather than grown in a culture over several days.

Rates data updated July 2026.

How much does Skin, Hair, Or Nail Sample Exam For Fungus Or Mites cost?

$5.13

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $5.13 for this service. The price depends on where it is billed: about $4.27 from a physician practice, and about $8.51 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$4.27$3.47 to $5.62
FacilityA hospital or hospital-owned outpatient department$8.51$5.37 to $23.99

How much rates vary

Facilitymedian $9 · 10th to 90th $4 to $79Professionalmedian $4 · 10th to 90th $3 to $9
$5$10$20$50$100facility $9professional $4

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
$4.17
Median
$8.51
Typical High
$87.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.39
Median
$5.13
Typical High
$9.33
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$2.45
Median
$2.45
Typical High
$2.63
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4.27
Median
$9.33
Typical High
$45.71
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.31
Median
$3.63
Typical High
$4.27
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4.79
Median
$9.77
Typical High
$19.50
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.63
Median
$5.01
Typical High
$7.59
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$8.32
Typical High
$112.20
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$5.50
Median
$5.50
Typical High
$5.50
Molina
Setting
Professional
Modifier
Global
Typical Low
$2.34
Median
$3.02
Typical High
$5.37
United
Setting
Facility
Modifier
Global
Typical Low
$3.16
Median
$4.27
Typical High
$8.51
United
Setting
Professional
Modifier
Global
Typical Low
$2.57
Median
$3.72
Typical High
$6.03

Where Illinois sits

The same service costs 9.8 times more in South Dakota 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.

Illinois· 28th of 51

$5.13

SD $31.62DC $3.24

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.