go back

Semen Check for Sperm Presence and Movement

Washington, DC rates for HCPCS 89321

A laboratory examination of a semen sample to see whether sperm are present and, if any are found, whether they are moving. It is a focused check rather than a full fertility workup with counts and shape analysis. It is most often used to confirm that a vasectomy has worked.

Rates data updated July 2026.

How much does Semen Check for Sperm Presence and Movement cost?

$9.12

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

Insurers have agreed to pay about $9.12 for this service. The price depends on where it is billed: about $9.12 from a physician practice, and about $20.42 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 5 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$9.12$9.12 to $9.12
FacilityA hospital or hospital-owned outpatient department$20.42$9.12 to $79.43

How much rates vary

Facilitymedian $20 · 10th to 90th $9 to $83Professionalmedian $9 · 10th to 90th $9 to $50
$10.0$20.0$50.0$100.0facility $20professional $9

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$9.12
Median
$44.67
Typical High
$83.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$9.12
Typical High
$9.12
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$61.66
Typical High
$134.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$20.42
Typical High
$46.77
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$16.98
Typical High
$93.33
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$23.44
Typical High
$23.44
United
Setting
Facility
Modifier
Global
Typical Low
$7.08
Median
$14.45
Typical High
$46.77
United
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$7.59
Typical High
$20.42

Where Washington, DC sits

The same service costs 11.5 times more in West Virginia than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Washington, DC $9.12 · 51st of 51
WV $105DC $9.12

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.