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

New Jersey 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 New Jersey, July 2026.

Insurers have agreed to pay about $5.13 for this service. The price depends on where it is billed: about $3.98 from a physician practice, and about $13.49 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 6 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$3.98$3.31 to $5.13
FacilityA hospital or hospital-owned outpatient department$13.49$7.08 to $25.12

How much rates vary

Facilitymedian $13 · 10th to 90th $5 to $107Professionalmedian $4 · 10th to 90th $3 to $7
$10.0$100.0$1.0K$10.0Kfacility $13professional $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
$5.50
Median
$13.49
Typical High
$41.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.16
Median
$3.98
Typical High
$6.61
AmeriHealth
Setting
Facility
Modifier
Global
Typical Low
$7.76
Median
$16.98
Typical High
$616.60
AmeriHealth
Setting
Professional
Modifier
Global
Typical Low
$2.34
Median
$2.34
Typical High
$2.34
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4.90
Median
$9.33
Typical High
$19.50
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.51
Median
$4.27
Typical High
$11.75
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1.70
Median
$2.34
Typical High
$4.90
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$4.27
Median
$10,471.29
Typical High
$23,988.33
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$2.57
Median
$3.80
Typical High
$4.79
United
Setting
Facility
Modifier
Global
Typical Low
$2.00
Median
$4.27
Typical High
$8.91
United
Setting
Professional
Modifier
Global
Typical Low
$1.91
Median
$2.75
Typical High
$6.03

Where New Jersey sits

The same service costs 9.8 times more in South Dakota than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

New Jersey $5.13 · 30th of 51
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.