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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 July 2026.

How much does Specialized Sperm Function Test cost?

$18.62

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $18.62 for this service. The price depends on where it is billed: about $16.22 from a physician practice, and about $46.77 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$16.22$15.85 to $18.62
FacilityA hospital or hospital-owned outpatient department$46.77$23.99 to $58.88

How much rates vary

Facilitymedian $47 · 10th to 90th $17 to $115Professionalmedian $16 · 10th to 90th $15 to $44
$10.0$100.0$1.0K$10.0Kfacility $47professional $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
$16.60
Median
$46.77
Typical High
$74.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$16.22
Typical High
$46.77
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$151.36
Typical High
$8,511.38
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$15.14
Typical High
$15.14
Cigna
Setting
Facility
Modifier
Global
Typical Low
$14.13
Median
$30.20
Typical High
$67.61
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$26.30
Typical High
$51.29
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$11.48
Typical High
$28.18
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$19.50
Typical High
$19.50
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$23.44
Typical High
$33.88
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$15.85
Median
$48.98
Typical High
$74.13
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$16.60
Typical High
$57.54
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$97.72
Typical High
$165.96
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$19.50
Typical High
$29.51
United
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$19.50
Typical High
$23.44
United
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$16.60
Typical High
$37.15

Where Pennsylvania 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.

Pennsylvania $18.62 · 36th 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.