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Specialized Sperm Function Test

North Carolina 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?

$15.85

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $15.85 for this service. The price depends on where it is billed: about $15.85 from a physician practice, and about $25.70 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$15.85$15.85 to $17.78
FacilityA hospital or hospital-owned outpatient department$25.70$15.85 to $61.66

How much rates vary

Facilitymedian $26 · 10th to 90th $14 to $69Professionalmedian $16 · 10th to 90th $14 to $28
$10.0$20.0$50.0$100.0$200.0$500.0facility $26professional $16

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
$13.80
Median
$25.70
Typical High
$64.57
Aetna
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$15.85
Typical High
$25.70
BCBS
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$89.13
Typical High
$89.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$17.78
Typical High
$27.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$38.02
Typical High
$89.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$14.13
Typical High
$30.20
Medcost
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$17.38
Typical High
$93.33
Medcost
Setting
Facility
Modifier
Global
Typical Low
$10.47
Median
$14.79
Typical High
$40.74
Medcost
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$50.12
Typical High
$81.28
United
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$25.70
Typical High
$36.31
United
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$14.79
Typical High
$30.20
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$602.56

Where North Carolina 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.

North Carolina $15.85 · 47th 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.