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

West Virginia 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?

$4.07

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $4.07 for this service. The price depends on where it is billed: about $3.89 from a physician practice, and about $6.46 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$3.89$3.31 to $5.01
FacilityA hospital or hospital-owned outpatient department$6.46$3.47 to $18.20

How much rates vary

Facilitymedian $6 · 10th to 90th $3 to $18Professionalmedian $4 · 10th to 90th $3 to $6
$2$5$10$20$50facility $6professional $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
$3.47
Median
$6.46
Typical High
$18.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.24
Median
$3.89
Typical High
$5.62
CareSource
Setting
Facility
Modifier
Global
Typical Low
$5.75
Median
$5.75
Typical High
$5.75
CareSource
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$4.27
Typical High
$5.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3.55
Median
$8.13
Typical High
$12.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.40
Median
$8.13
Typical High
$30.20
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$14.79
Median
$14.79
Typical High
$20.89
United
Setting
Facility
Modifier
Global
Typical Low
$1.78
Median
$1.78
Typical High
$4.90
United
Setting
Professional
Modifier
Global
Typical Low
$2.51
Median
$2.88
Typical High
$5.89

Where West Virginia 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.

West Virginia· 48th of 51

$4.07

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.