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Semen Check for Sperm Presence and Movement

Georgia 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?

$10.47

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $10.47 for this service. The price depends on where it is billed: about $9.33 from a physician practice, and about $15.85 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 7 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$9.33$7.94 to $11.22
FacilityA hospital or hospital-owned outpatient department$15.85$10.00 to $20.42

How much rates vary

Facilitymedian $16 · 10th to 90th $8 to $25Professionalmedian $9 · 10th to 90th $6 to $14
$5.0$10.0$20.0$50.0$100.0facility $16professional $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
$7.94
Median
$19.50
Typical High
$38.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$10.23
Typical High
$13.80
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$7.41
Typical High
$7.41
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$7.94
Median
$13.80
Typical High
$21.88
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$7.08
Typical High
$13.18
CareSource
Setting
Facility
Modifier
Global
Typical Low
$8.71
Median
$8.71
Typical High
$8.71
Cigna
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$24.55
Typical High
$38.02
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.61
Median
$13.80
Typical High
$18.62
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$16.98
Typical High
$22.91
United
Setting
Facility
Modifier
Global
Typical Low
$7.08
Median
$10.96
Typical High
$14.79
United
Setting
Professional
Modifier
Global
Typical Low
$4.47
Median
$5.37
Typical High
$16.98

Where Georgia 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.

Georgia $10.47 · 49th 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.