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Semen Check for Sperm Presence and Movement

Montana 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?

$16.22

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $16.22 for this service. The price depends on where it is billed: about $15.85 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 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$15.85$14.45 to $18.20
FacilityA hospital or hospital-owned outpatient department$23.44$16.22 to $64.57

How much rates vary

Facilitymedian $23 · 10th to 90th $15 to $91Professionalmedian $16 · 10th to 90th $11 to $52
$10.0$100.0$1.0K$10.0K$100.0Kfacility $23professional $16

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
$39.81
Median
$67.61
Typical High
$371.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$15.85
Typical High
$52.48
BCBS
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$41.69
Typical High
$81,283.05
BCBS
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$16.22
Typical High
$16.22
Cigna
Setting
Facility
Modifier
Global
Typical Low
$18.20
Median
$23.44
Typical High
$69.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$13.49
Typical High
$16.98
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$16.98
Typical High
$37.15
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$16.98
Typical High
$37.15
Providence
Setting
Facility
Modifier
Global
Typical Low
$17.38
Median
$23.44
Typical High
$69.18
Providence
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$10.96
Typical High
$15.14
United
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$14.45
Typical High
$14.45
United
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$6.92
Typical High
$16.98

Where Montana 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.

Montana $16.22 · 10th 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.