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Semen Check for Sperm Presence and Movement

Virginia 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?

$11.48

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $11.48 for this service. The price depends on where it is billed: about $9.33 from a physician practice, and about $18.20 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 8 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$9.33$9.12 to $11.48
FacilityA hospital or hospital-owned outpatient department$18.20$12.02 to $43.65

How much rates vary

Facilitymedian $18 · 10th to 90th $11 to $72Professionalmedian $9 · 10th to 90th $6 to $28
$10.0$100.0$1.0K$10.0Kfacility $18professional $9

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
$11.48
Median
$29.51
Typical High
$72.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$9.55
Typical High
$28.18
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$47.86
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$5.89
Typical High
$9.33
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$61.66
Typical High
$85.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$12.30
Median
$30.90
Typical High
$54.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$10.00
Typical High
$16.98
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$14.45
Typical High
$17.78
Medcost
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$20.42
Typical High
$23.44
Medcost
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$10.96
Typical High
$19.50
Medcost
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$14.13
Typical High
$25.12
Sentara
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$16.98
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$16.98
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$5.01
Median
$12.02
Typical High
$20.89
United
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$7.24
Typical High
$13.18

Where Virginia 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.

Virginia $11.48 · 44th 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.