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Specialized Sperm Function Test

Illinois rates for HCPCS 89329

A specialized laboratory test that goes beyond a routine semen analysis to check how well sperm can move through and penetrate a barrier, rather than just counting them and watching how they swim. It is used in a male fertility work-up when standard testing has not explained why conception is not happening.

Rates data updated July 2026.

How much does Specialized Sperm Function Test cost?

$26.30

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $26.30 for this service. The price depends on where it is billed: about $19.05 from a physician practice, and about $33.88 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 6 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$19.05$16.22 to $39.81
FacilityA hospital or hospital-owned outpatient department$33.88$22.91 to $44.67

How much rates vary

Facilitymedian $34 · 10th to 90th $17 to $89Professionalmedian $19 · 10th to 90th $15 to $74
$5.0$10.0$20.0$50.0$100.0$200.0$500.0facility $34professional $19

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
$16.22
Median
$30.90
Typical High
$53.70
Aetna
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$16.98
Typical High
$44.67
BCBS
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$54.95
Typical High
$204.17
Cigna
Setting
Facility
Modifier
Global
Typical Low
$22.91
Median
$44.67
Typical High
$91.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$22.91
Typical High
$36.31
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$40.74
Typical High
$199.53
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$25.70
Molina
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$10.72
Typical High
$10.72
United
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$22.39
Typical High
$38.90
United
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$14.79
Typical High
$29.51

Where Illinois sits

The same service costs 2.6 times more in South Dakota than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Illinois $26.30 · 11th of 51
SD $38.02DC $14.79

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.