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Semen Check for Sperm Presence and Movement

North Dakota 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?

$20.42

Typical negotiated rate. In North Dakota, July 2026.

Insurers have agreed to pay about $20.42 for this service. The price depends on where it is billed: about $18.20 from a physician practice, and about $58.88 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 5 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$18.20$13.18 to $27.54
FacilityA hospital or hospital-owned outpatient department$58.88$21.88 to $60.26

How much rates vary

Facilitymedian $59 · 10th to 90th $9 to $69Professionalmedian $18 · 10th to 90th $11 to $62
$10.0$20.0$50.0$100.0facility $59professional $18

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
$8.51
Median
$58.88
Typical High
$69.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$14.45
Typical High
$63.10
BCBS
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$23.44
Typical High
$27.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$13.49
Typical High
$17.38
Medica
Setting
Facility
Modifier
Global
Typical Low
$8.51
Median
$25.12
Typical High
$79.43
Medica
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$8.51
Typical High
$20.89
United
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$46.77
United
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$12.59
Typical High
$19.50

Where North Dakota 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 Dakota $20.42 · 8th 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.