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Utah rates for HCPCS 89331

Sperm evaluation, for retrograde ejaculation, urine (sperm concentration, motility, and morphology, as indicated)

Facilitymedian $71 · 10th–90th $22–$1740%20%10th90th$71Professionalmedian $16 · 10th–90th $12–$230%20%10th90th$16$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.99 / $134.90 / $173.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $15.14 / $22.91
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $20.42 / $53.70
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $13.49 / $37.15
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $22.39 / $89.13
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $16.60 / $17.78
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $19.50 / $61.66
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $19.50 / $29.51
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.77 / $9.77 / $12.59
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $11.48 / $27.54