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

North Carolina 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 North Carolina, July 2026.

Insurers have agreed to pay about $5.13 for this service. The price depends on where it is billed: about $5.13 from a physician practice, and about $7.41 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$5.13$3.80 to $7.94
FacilityA hospital or hospital-owned outpatient department$7.41$3.80 to $13.49

How much rates vary

Facilitymedian $7 · 10th to 90th $3 to $29Professionalmedian $5 · 10th to 90th $3 to $12
$5$10$20$50$100facility $7professional $5

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
$3.39
Median
$9.55
Typical High
$28.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.39
Median
$5.13
Typical High
$12.30
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$1.82
Median
$2.14
Typical High
$5.50
BCBS
Setting
Facility
Modifier
Global
Typical Low
$7.24
Median
$9.77
Typical High
$19.05
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.24
Median
$7.76
Typical High
$7.76
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.95
Median
$8.13
Typical High
$19.50
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.19
Median
$2.95
Typical High
$6.76
Medcost
Setting
Professional
Modifier
Global
Typical Low
$3.55
Median
$8.32
Typical High
$15.49
Medcost
Setting
Facility
Modifier
Global
Typical Low
$3.39
Median
$3.89
Typical High
$8.32
Medcost
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$6.92
Typical High
$7.59
United
Setting
Facility
Modifier
Global
Typical Low
$2.24
Median
$5.62
Typical High
$8.13
United
Setting
Professional
Modifier
Global
Typical Low
$2.57
Median
$4.17
Typical High
$6.03
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$100.00

Where North Carolina 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.

North Carolina· 27th 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.