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Semen Check for Sperm Presence and Movement

Kentucky 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?

$10.96

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $10.96 for this service. The price depends on where it is billed: about $10.00 from a physician practice, and about $15.49 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 6 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$6.92 to $13.18
FacilityA hospital or hospital-owned outpatient department$15.49$9.77 to $46.77

How much rates vary

Facilitymedian $15 · 10th to 90th $10 to $79Professionalmedian $10 · 10th to 90th $6 to $17
$5.0$10.0$20.0$50.0$100.0facility $15professional $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
$9.33
Median
$15.49
Typical High
$87.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$10.96
Typical High
$16.98
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$7.41
Typical High
$7.41
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$10.23
Median
$12.02
Typical High
$12.59
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$5.89
Typical High
$16.60
CareSource
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$12.02
Typical High
$16.98
CareSource
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$15.14
Typical High
$19.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10.47
Median
$25.70
Typical High
$25.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$81.28
Typical High
$81.28
United
Setting
Facility
Modifier
Global
Typical Low
$5.37
Median
$12.02
Typical High
$46.77
United
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$10.00
Typical High
$16.98

Where Kentucky 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.

Kentucky $10.96 · 46th 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.