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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 July 2026.

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

$14.13

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $14.13 for this service. The price depends on where it is billed: about $10.96 from a physician practice, and about $34.67 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$10.96$9.33 to $14.13
FacilityA hospital or hospital-owned outpatient department$34.67$18.20 to $54.95

How much rates vary

Facilitymedian $35 · 10th to 90th $12 to $132Professionalmedian $11 · 10th to 90th $9 to $23
$10.0$100.0$1.0K$10.0Kfacility $35professional $11

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
$34.67
Typical High
$74.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$10.96
Typical High
$23.44
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$7.41
Typical High
$7.41
AmeriHealth
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$67.61
Typical High
$112.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$26.92
Typical High
$54.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$14.79
Typical High
$33.88
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$6.03
Typical High
$13.49
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$10,471.29
Typical High
$23,988.33
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$10.72
Typical High
$13.49
United
Setting
Facility
Modifier
Global
Typical Low
$5.62
Median
$12.02
Typical High
$25.12
United
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$7.24
Typical High
$17.38

Where New Jersey 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.

New Jersey $14.13 · 26th 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.