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Specialized Sperm Function Test

New York 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?

$19.50

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $19.50 for this service. The price depends on where it is billed: about $15.49 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 9 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$15.49$15.14 to $20.42
FacilityA hospital or hospital-owned outpatient department$33.88$20.42 to $48.98

How much rates vary

Facilitymedian $34 · 10th to 90th $17 to $54Professionalmedian $15 · 10th to 90th $10 to $44
$10.0$100.0$1.0K$10.0Kfacility $34professional $15

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
$16.60
Median
$34.67
Typical High
$53.70
Aetna
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$15.49
Typical High
$29.51
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$19.50
Typical High
$51.29
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$11.75
Typical High
$50.12
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$11.75
Median
$19.50
Typical High
$19.50
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$19.50
Typical High
$19.50
Cigna
Setting
Facility
Modifier
Global
Typical Low
$19.05
Median
$47.86
Typical High
$213.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$28.84
Typical High
$575.44
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$25.70
Typical High
$53.70
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$13.80
Typical High
$38.02
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$19.95
Typical High
$27.54
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$37.15
Typical High
$257.04
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$30.20
Typical High
$50.12
United
Setting
Facility
Modifier
Global
Typical Low
$15.49
Median
$23.44
Typical High
$30.90
United
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$16.98
Typical High
$85.11
Univera
Setting
Facility
Modifier
Global
Typical Low
$16.60
Median
$22.39
Typical High
$61.66
Univera
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$20.42
Typical High
$67.61

Where New York 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.

New York $19.50 · 26th 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.