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Finding Sperm in a Testicular Tissue Sample

Washington rates for HCPCS 89264

A laboratory works through a small piece of tissue taken from the testicle, teasing it apart and searching under the microscope for sperm inside it. Sperm that are found are identified and prepared for use in fertility treatment. The tissue may be freshly obtained or previously frozen.

Rates data updated July 2026.

Facilitymedian $186 · 10th–90th $117$3630%10%20%10th90th$186Professionalmedian $302 · 10th–90th $302$3630%50%90th$302$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
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$501.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$363.08
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$169.82
Typical High
$295.12
Cigna
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$114.82
Typical High
$131.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$138.04
Typical High
$151.36
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$75.86
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$131.83
Typical High
$131.83
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$162.18
Typical High
$295.12
United
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$194.98
Typical High
$363.08
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$186.21