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Minnesota rates for HCPCS 89261

Sperm isolation; complex prep (eg, Percoll gradient, albumin gradient) for insemination or diagnosis with semen analysis

Facilitymedian $204 · 10th–90th $89–$6030%5%10th90th$204Professionalmedian $155 · 10th–90th $89–$1950%20%10th90th$155$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$89.13 / $89.13 / $154.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $89.13 / $295.12
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $154.88 / $398.11
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $173.78 / $173.78
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$186.21 / $323.59 / $776.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $134.90 / $177.83
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$190.55 / $288.40 / $602.56
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $104.71 / $177.83
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.38 / $107.15 / $177.83
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $407.38 / $446.68
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$131.83 / $134.90 / $186.21
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $29.51 / $46.77