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Semen Check for Sperm Presence and Movement

Delaware 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?

$12.59

Typical negotiated rate. In Delaware, July 2026.

Insurers have agreed to pay about $12.59 for this service. The price depends on where it is billed: about $10.00 from a physician practice, and about $13.80 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$10.00$9.55 to $36.31
FacilityA hospital or hospital-owned outpatient department$13.80$12.59 to $166

How much rates vary

Facilitymedian $14 · 10th to 90th $10 to $174Professionalmedian $10 · 10th to 90th $10 to $36
$10.0$20.0$50.0$100.0facility $14professional $10

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
$10.00
Median
$13.80
Typical High
$173.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$10.00
Typical High
$36.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.76
Median
$7.76
Typical High
$7.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$10.96
Typical High
$22.39
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$58.88
United
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$10.00
Typical High
$17.38

Where Delaware 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.

Delaware $12.59 · 37th 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.