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Semen Check for Sperm Presence and Movement

New Mexico 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?

$13.18

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $13.18 for this service. The price depends on where it is billed: about $11.22 from a physician practice, and about $36.31 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$11.22$9.77 to $14.45
FacilityA hospital or hospital-owned outpatient department$36.31$17.78 to $79.43

How much rates vary

Facilitymedian $36 · 10th to 90th $13 to $123Professionalmedian $11 · 10th to 90th $9 to $23
$10.0$100.0$1.0K$10.0K$100.0Kfacility $36professional $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
$14.45
Median
$22.39
Typical High
$38.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$11.48
Typical High
$30.20
BCBS
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$79.43
Typical High
$128.82
BCBS
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$9.77
Typical High
$11.22
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.76
Median
$7.76
Typical High
$7.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$16.98
Typical High
$26.30
Providence
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$14.45
Typical High
$20.89
Providence
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$18.62
Typical High
$30.20
United
Setting
Facility
Modifier
Global
Typical Low
$4.57
Median
$12.02
Typical High
$18.20
United
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$7.08
Typical High
$9.12

Where New Mexico 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 Mexico $13.18 · 31st 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.