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Semen Check for Sperm Presence and Movement

Illinois 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?

$15.85

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $15.85 for this service. The price depends on where it is billed: about $12.02 from a physician practice, and about $25.70 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$12.02$9.33 to $15.85
FacilityA hospital or hospital-owned outpatient department$25.70$17.38 to $56.23

How much rates vary

Facilitymedian $26 · 10th to 90th $12 to $115Professionalmedian $12 · 10th to 90th $3 to $25
$5$10$20$50$100$200facility $26professional $12

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
$12.02
Median
$24.55
Typical High
$114.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$12.30
Typical High
$24.55
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$7.41
Typical High
$14.13
BCBS
Setting
Facility
Modifier
Global
Typical Low
$15.85
Median
$31.62
Typical High
$165.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$9.33
Typical High
$12.02
Cigna
Setting
Facility
Modifier
Global
Typical Low
$13.49
Median
$27.54
Typical High
$54.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$14.45
Typical High
$21.88
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$23.99
Typical High
$109.65
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$15.85
Typical High
$15.85
Molina
Setting
Professional
Modifier
Global
Typical Low
$6.61
Median
$6.61
Typical High
$8.51
United
Setting
Facility
Modifier
Global
Typical Low
$7.24
Median
$14.45
Typical High
$23.99
United
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$7.76
Typical High
$16.98

Where Illinois sits

The same service costs 11.5 times more in West Virginia than in Washington, DC. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Illinois· 12th of 51

$15.85

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.