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Semen Check for Sperm Presence and Movement

Iowa 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?

$22.39

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $22.39 for this service. The price depends on where it is billed: about $22.39 from a physician practice, and about $23.44 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$22.39$13.49 to $46.77
FacilityA hospital or hospital-owned outpatient department$23.44$14.45 to $34.67

How much rates vary

Facilitymedian $23 · 10th to 90th $12 to $98Professionalmedian $22 · 10th to 90th $9 to $54
$10.0$20.0$50.0$100.0facility $23professional $22

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
$9.33
Median
$28.18
Typical High
$100.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$22.39
Typical High
$53.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$22.91
Typical High
$28.18
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$21.88
Typical High
$60.26
Medica
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$15.85
Typical High
$63.10
Medica
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$14.45
Typical High
$31.62
Midlands
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$14.79
Typical High
$14.79
Midlands
Setting
Facility
Modifier
Global
Typical Low
$14.79
Median
$14.79
Typical High
$14.79
United
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$27.54
United
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$10.00
Typical High
$30.20
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$12.02
Typical High
$12.02

Where Iowa 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.

Iowa $22.39 · 6th 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.