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Specialized Sperm Function Test

Pennsylvania 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 October 2026.

How much does Specialized Sperm Function Test cost?

$17.78

Typical negotiated rate. In Pennsylvania, October 2026.

Insurers have agreed to pay about $17.78 for this service. The price depends on where it is billed: about $16.60 from a physician practice, and about $32.36 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$16.60$15.14 to $19.50
FacilityA hospital or hospital-owned outpatient department$32.36$19.50 to $87.10

How much rates vary

Facilitymedian $32 · 10th to 90th $16 to $155Professionalmedian $17 · 10th to 90th $12 to $30
$10$100$1Kfacility $32professional $17

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$15.85
Median
$16.60
Typical High
$57.54
Aetna
Setting
Professional
Modifier
None
Typical Low
$15.85
Median
$15.85
Typical High
$18.62
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$7.76
Median
$7.94
Typical High
$9.33
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$3.16
Median
$3.16
Typical High
$3.72
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$120.23
Median
$154.88
Typical High
$5,011.87
Capital Blue Cross
Setting
Professional
Modifier
None
Typical Low
$15.14
Median
$15.14
Typical High
$46.77
Cigna
Setting
Facility
Modifier
None
Typical Low
$13.80
Median
$30.20
Typical High
$58.88
Cigna
Setting
Professional
Modifier
None
Typical Low
$13.18
Median
$22.39
Typical High
$51.29
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$9.12
Median
$9.12
Typical High
$28.18
Geisinger
Setting
Facility
Modifier
None
Typical Low
$19.50
Median
$19.50
Typical High
$19.50
Geisinger
Setting
Professional
Modifier
None
Typical Low
$16.60
Median
$23.44
Typical High
$31.62
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$15.85
Median
$15.85
Typical High
$67.61
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$15.85
Median
$15.85
Typical High
$16.60
Martin's Point
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$7.94
Median
$7.94
Typical High
$8.32
Martin's Point
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$3.16
Median
$3.16
Typical High
$3.31
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$19.50
Median
$79.43
Typical High
$165.96
UPMC Health Plan
Setting
Professional
Modifier
None
Typical Low
$17.38
Median
$19.50
Typical High
$29.51
United
Setting
Facility
Modifier
None
Typical Low
$17.78
Median
$19.50
Typical High
$23.44
United
Setting
Professional
Modifier
None
Typical Low
$8.91
Median
$14.79
Typical High
$40.74

Where Pennsylvania sits

The same service costs 3.2 times more in Alaska than in Nebraska. 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.

Pennsylvania· 36th of 51

$17.78

AK $43.65NE $13.80

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.