Fungal tissue examination

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC TISSUE EXAM BY KOH

Payers reporting CPT 87220

Payer pricing summary

Low

Average

$36

Median

$26

High

$275

Payer rate distribution

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#
1	Blue Cross Blue Shield fee schedule · outpatient · +33 other terms	548	$7	$13	$17	131%	54–117	$1 – $251
2	Anthem fee schedule · outpatient · +28 other terms	213	$7	$10	$15	148%	37–46	$1 – $284
3	UnitedHealthcare fee schedule · outpatient · +35 other terms	845	$4	$7	$14	185%	33–114	$1 – $313
4	Regence fee schedule · outpatient · +15 other terms	31	$4	$6	$8	139%	13–22	$3 – $93
5	Humana fee schedule · outpatient · +28 other terms	574	$4	$10	$14	135%	9–90	$1 – $133
6	Kaiser fee schedule · outpatient · +21 other terms	117	$4	$11	$47	436%	2–20	$2 – $690
7	Aetna fee schedule · outpatient · +33 other terms	781	$6	$30	$315	1061%	1–10	$0 – $8.4k
8	Cigna fee schedule · outpatient · +26 other terms	553	$9	$17	$72	422%	1–10	$2 – $912
9	Molina fee schedule · outpatient · +30 other terms	289	$5	$6	$9	144%	1–10	$1 – $193
10	Healthpartners fee schedule · outpatient · +14 other terms	27	$13	$12	$3	22%	1–10	$4 – $14
11	Premera fee schedule · outpatient · +11 other terms	20	$5	$7	$13	186%	1–10	$4 – $145
12	WellCare fee schedule · outpatient · +20 other terms	330	$4	$5	$3	53%	—	$4 – $43
13	Devoted fee schedule · outpatient · +17 other terms	194	$4	$4	$0	3%	—	$4 – $5
14	Oscar fee schedule · outpatient · +18 other terms	162	$8	$9	$3	33%	—	$4 – $13
15	Cigna Healthspring fee schedule · outpatient · +8 other terms	146	$4	$4	$1	12%	—	$3 – $7
16	Ambetter fee schedule · outpatient · +20 other terms	130	$7	$7	$6	80%	—	$3 – $59
17	Aetna Better Health fee schedule · outpatient · +18 other terms	113	$4	$10	$39	397%	—	$2 – $352
18	MultiPlan fee schedule · outpatient · +20 other terms	110	$47	$55	$70	128%	—	$1 – $735
19	Tricare facility · fee schedule · outpatient · +21 other terms	99	$4	$5	$7	148%	—	$2 – $96
20	Caresource fee schedule · outpatient · +17 other terms	94	$5	$7	$7	108%	—	$1 – $44
21	Optum fee schedule · outpatient · +20 other terms	80	$4	$7	$8	101%	—	$4 – $55
22	First Health fee schedule · outpatient · +19 other terms	70	$10	$17	$34	205%	—	$4 – $303
23	Amerihealth Caritas fee schedule · outpatient · +14 other terms	64	$4	$5	$3	58%	—	$1 – $23
24	Highmark facility · fee schedule · outpatient · +18 other terms	63	$7	$10	$9	87%	—	$3 – $44
25	Medicaid facility · fee schedule · outpatient · +14 other terms	63	$4	$4	$1	18%	—	$2 – $11

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