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Specialized Sperm Function Test

Virginia 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 Virginia, July 2026.

Insurers have agreed to pay about $18.62 for this service. The price depends on where it is billed: about $14.79 from a physician practice, and about $23.44 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$14.79$14.45 to $18.62
FacilityA hospital or hospital-owned outpatient department$23.44$19.50 to $50.12

How much rates vary

Facilitymedian $23 · 10th to 90th $19 to $102Professionalmedian $15 · 10th to 90th $10 to $54
$10.0$100.0$1.0K$10.0Kfacility $23professional $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
$18.62
Median
$47.86
Typical High
$125.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$15.14
Typical High
$53.70
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$19.50
Typical High
$77.62
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$9.77
Typical High
$15.14
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$107.15
Typical High
$147.91
Cigna
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$53.70
Typical High
$89.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$14.79
Typical High
$36.31
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$23.44
Typical High
$28.84
Medcost
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$35.48
Typical High
$40.74
Medcost
Setting
Facility
Modifier
Global
Typical Low
$10.47
Median
$10.47
Typical High
$38.90
Medcost
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$40.74
Typical High
$72.44
Sentara
Setting
Facility
Modifier
Global
Typical Low
$17.38
Median
$29.51
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$28.84
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$8.32
Median
$19.50
Typical High
$36.31
United
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$12.30
Typical High
$21.88

Where Virginia 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.

Virginia $18.62 · 33rd 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.