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Semen Check for Sperm Presence and Movement

Maine 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?

$14.13

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $14.13 for this service. The price depends on where it is billed: about $12.02 from a physician practice, and about $30.20 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$12.02$9.77 to $14.45
FacilityA hospital or hospital-owned outpatient department$30.20$12.02 to $89.13

How much rates vary

Facilitymedian $30 · 10th to 90th $12 to $117Professionalmedian $12 · 10th to 90th $7 to $16
$5$10$20$50$100facility $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
$30.20
Typical High
$114.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$9.77
Typical High
$16.22
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$14.13
Median
$112.20
Typical High
$123.03
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$6.92
Typical High
$15.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$14.13
Median
$16.98
Typical High
$27.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$12.02
Typical High
$16.98
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$12.02
Typical High
$14.45
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$25.70
Typical High
$117.49
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$14.13
Typical High
$18.20
United
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$46.77
United
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$12.02
Typical High
$24.55

Where Maine 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.

Maine· 25th of 51

$14.13

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.