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Specialized Sperm Function Test

Massachusetts 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?

$25.12

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $25.12 for this service. The price depends on where it is billed: about $19.50 from a physician practice, and about $47.86 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$19.50$19.50 to $31.62
FacilityA hospital or hospital-owned outpatient department$47.86$27.54 to $58.88

How much rates vary

Facilitymedian $48 · 10th to 90th $19 to $83Professionalmedian $19 · 10th to 90th $17 to $65
$10$50$200$1Kfacility $48professional $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
$19.95
Median
$44.67
Typical High
$83.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$19.95
Typical High
$93.33
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$27.54
Typical High
$602.56
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$19.50
Typical High
$57.54
BCBS
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$47.86
Typical High
$75.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$32.36
Typical High
$53.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$23.44
Typical High
$51.29
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$18.62
Median
$102.33
Typical High
$7,079.46
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$28.18
Typical High
$33.11
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$19.50
Typical High
$63.10
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$27.54
Typical High
$602.56
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$19.50
Typical High
$57.54
United
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$19.50
Typical High
$30.90
United
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$19.50
Typical High
$83.18

Where Massachusetts sits

The same service costs 2.6 times more in South Dakota than in Washington, DC. 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.

Massachusetts· 13th of 51

$25.12

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.