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Semen Check for Sperm Presence and Movement

Massachusetts 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?

$15.49

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $15.49 for this service. The price depends on where it is billed: about $12.02 from a physician practice, and about $29.51 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 9 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$11.48 to $16.98
FacilityA hospital or hospital-owned outpatient department$29.51$16.98 to $46.77

How much rates vary

Facilitymedian $30 · 10th to 90th $12 to $95Professionalmedian $12 · 10th to 90th $11 to $31
$10.0$100.0$1.0K$10.0Kfacility $30professional $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
$34.67
Typical High
$141.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$11.48
Typical High
$36.31
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$16.98
Typical High
$79.43
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$12.02
Typical High
$29.51
BCBS
Setting
Facility
Modifier
Global
Typical Low
$23.44
Median
$29.51
Typical High
$46.77
BCBS
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$11.22
Typical High
$15.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$9.33
Median
$19.05
Typical High
$30.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$13.49
Typical High
$20.89
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$16.98
Typical High
$4,897.79
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$15.85
Typical High
$20.42
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$36.31
Health New England
Setting
Facility
Modifier
Global
Typical Low
$12.88
Median
$15.85
Typical High
$102.33
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$16.98
Typical High
$79.43
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$12.02
Typical High
$29.51
United
Setting
Facility
Modifier
Global
Typical Low
$7.24
Median
$12.02
Typical High
$17.78
United
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$12.02
Typical High
$33.88

Where Massachusetts 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.

Massachusetts $15.49 · 13th 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.