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Semen Check for Sperm Presence and Movement

North Carolina 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?

$14.79

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $14.79 for this service. The price depends on where it is billed: about $13.18 from a physician practice, and about $28.84 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$13.18$9.55 to $18.20
FacilityA hospital or hospital-owned outpatient department$28.84$18.62 to $79.43

How much rates vary

Facilitymedian $29 · 10th to 90th $10 to $117Professionalmedian $13 · 10th to 90th $10 to $19
$10.0$20.0$50.0$100.0facility $29professional $13

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
$10.00
Median
$37.15
Typical High
$117.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$13.49
Typical High
$19.50
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$7.94
Typical High
$8.32
BCBS
Setting
Facility
Modifier
Global
Typical Low
$20.42
Median
$37.15
Typical High
$53.70
BCBS
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$15.49
Typical High
$15.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8.32
Median
$23.44
Typical High
$54.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.17
Median
$9.55
Typical High
$18.20
Medcost
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$20.89
Typical High
$26.30
Medcost
Setting
Facility
Modifier
Global
Typical Low
$9.55
Median
$10.96
Typical High
$23.44
Medcost
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$15.85
Typical High
$50.12
United
Setting
Facility
Modifier
Global
Typical Low
$6.31
Median
$15.85
Typical High
$20.89
United
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$8.51
Typical High
$16.98
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43

Where North Carolina 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.

North Carolina $14.79 · 18th 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.