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Sperm Preparation With Semen Analysis

Wisconsin 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 October 2026.

How much does Sperm Preparation With Semen Analysis cost?

$107

Typical negotiated rate. In Wisconsin, October 2026.

Insurers have agreed to pay about $107 for this service. The price depends on where it is billed: about $107 from a physician practice, and about $107 from a hospital or other facility.

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 9 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$107$33.11 to $138
FacilityA hospital or hospital-owned outpatient department$107$91.20 to $229

How much rates vary

Facilitymedian $107 · 10th to 90th $85 to $263Professionalmedian $107 · 10th to 90th $33 to $457
$50$100$200$500facility $107professional $107

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$107.15
Median
$107.15
Typical High
$107.15
Aetna
Setting
Professional
Modifier
None
Typical Low
$107.15
Median
$107.15
Typical High
$776.25
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$53.70
Median
$53.70
Typical High
$389.05
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$21.38
Median
$21.38
Typical High
$154.88
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$33.11
Typical High
$123.03
Cigna
Setting
Facility
Modifier
None
Typical Low
$229.09
Median
$263.03
Typical High
$389.05
Cigna
Setting
Professional
Modifier
None
Typical Low
$104.71
Median
$117.49
Typical High
$134.90
DeanCare
Setting
Facility
Modifier
None
Typical Low
$85.11
Median
$91.20
Typical High
$104.71
Medica
Setting
Facility
Modifier
None
Typical Low
$85.11
Median
$91.20
Typical High
$138.04
Medica
Setting
Professional
Modifier
None
Typical Low
$50.12
Median
$50.12
Typical High
$50.12
Network Health
Setting
Facility
Modifier
None
Typical Low
$53.70
Median
$60.26
Typical High
$60.26
Prevea360
Setting
Facility
Modifier
None
Typical Low
$85.11
Median
$91.20
Typical High
$104.71
Security Health
Setting
Professional
Modifier
None
Typical Low
$295.12
Median
$295.12
Typical High
$295.12
Security Health
Setting
Professional
Modifier
None
Typical Low
$295.12
Median
$295.12
Typical High
$295.12
United
Setting
Facility
Modifier
None
Typical Low
$138.04
Median
$138.04
Typical High
$138.04
United
Setting
Professional
Modifier
None
Typical Low
$50.12
Median
$50.12
Typical High
$50.12

Where Wisconsin sits

The same service costs 15.1 times more in Illinois than in New Hampshire. 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.

Wisconsin· 11th of 51

$107

IL $501NH $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.