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Sperm Preparation With Semen Analysis

Washington, DC rates for HCPCS 89261

Laboratory work that separates the active, healthy sperm in a semen sample from the surrounding fluid and debris, together with an analysis of the sample. The prepared sperm can then be used for insemination or other fertility treatment. The analysis reports on the number, movement and shape of the sperm.

Rates data updated July 2026.

How much does Sperm Preparation With Semen Analysis cost?

$110

Typical negotiated rate. In Washington, DC, July 2026.

Insurers have agreed to pay about $110 for this service. The price depends on where it is billed: about $110 from a physician practice, and about $110 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 4 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$110$110 to $110
FacilityA hospital or hospital-owned outpatient department$110$110 to $110

How much rates vary

Facilitymedian $110 · 10th to 90th $105 to $269Professionalmedian $110 · 10th to 90th $110 to $200
$20.0$50.0$100.0$200.0$500.0facility $110professional $110

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$125.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$109.65
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$223.87
Typical High
$467.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$87.10
Typical High
$104.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$131.83
United
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$269.15
Typical High
$478.63

Where Washington, DC sits

The same service costs 7.1 times more in Iowa than in New Hampshire. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Washington, DC $110 · 10th of 51
IA $234NH $33.11

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.