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Specialized Sperm Function Test

Ohio 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?

$18.62

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $18.62 for this service. The price depends on where it is billed: about $15.85 from a physician practice, and about $28.18 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$15.85$11.48 to $19.50
FacilityA hospital or hospital-owned outpatient department$28.18$19.50 to $42.66

How much rates vary

Facilitymedian $28 · 10th to 90th $16 to $78Professionalmedian $16 · 10th to 90th $10 to $47
$5.0$10.0$20.0$50.0$100.0$200.0$500.0facility $28professional $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
$15.85
Median
$37.15
Typical High
$77.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$18.62
Typical High
$77.62
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$20.89
Typical High
$36.31
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$12.02
Typical High
$25.70
CareSource
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$14.45
Typical High
$22.39
CareSource
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$26.30
Typical High
$26.30
Cigna
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$25.12
Typical High
$79.43
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$13.49
Typical High
$38.90
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$25.70
Typical High
$79.43
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$13.49
Typical High
$38.02
Molina
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$10.72
Typical High
$34.67
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$20.42
Typical High
$38.90
United
Setting
Facility
Modifier
Global
Typical Low
$8.32
Median
$19.50
Typical High
$29.51
United
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$12.30
Typical High
$29.51

Where Ohio 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.

Ohio $18.62 · 35th 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.