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Semen Check for Sperm Presence and Movement

New Jersey 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 October 2026.

How much does Semen Check for Sperm Presence and Movement cost?

$10.96

Typical negotiated rate. In New Jersey, October 2026.

Insurers have agreed to pay about $10.96 for this service. The price depends on where it is billed: about $10.23 from a physician practice, and about $60.26 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$10.23$9.33 to $10.96
FacilityA hospital or hospital-owned outpatient department$60.26$16.60 to $10,471

How much rates vary

Facilitymedian $60 · 10th to 90th $11 to $20,417Professionalmedian $10 · 10th to 90th $7 to $14
$10$100$1K$10Kfacility $60professional $10

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$9.33
Median
$10.72
Typical High
$18.20
Aetna
Setting
Professional
Modifier
None
Typical Low
$9.33
Median
$9.33
Typical High
$14.45
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$4.68
Median
$4.68
Typical High
$6.92
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$1.86
Median
$1.86
Typical High
$2.75
AmeriHealth
Setting
Facility
Modifier
None
Typical Low
$48.98
Median
$89.13
Typical High
$128.82
Cigna
Setting
Facility
Modifier
None
Typical Low
$11.75
Median
$26.92
Typical High
$58.88
Cigna
Setting
Professional
Modifier
None
Typical Low
$7.94
Median
$13.80
Typical High
$24.55
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$4.79
Median
$6.03
Typical High
$7.08
Horizon BCBS
Setting
Facility
Modifier
None
Typical Low
$4,365.16
Median
$14,791.08
Typical High
$26,915.35
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$10.23
Median
$10.23
Typical High
$10.96
United
Setting
Facility
Modifier
None
Typical Low
$10.96
Median
$10.96
Typical High
$10.96
United
Setting
Professional
Modifier
None
Typical Low
$5.01
Median
$7.24
Typical High
$14.13

Where New Jersey sits

The same service costs 4.0 times more in Alaska than in Georgia. 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.

New Jersey· 38th of 51

$10.96

AK $33.11GA $8.32

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.