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Wisconsin rates for HCPCS 89331

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

Facilitymedian $44 · 10th–90th $17–$1000%10%10th90th$44Professionalmedian $19 · 10th–90th $10–$720%10%10th90th$19$10.0$20.0$50.0$100.0$200.0$500.0

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
$22.91 / $53.70 / $97.72
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $18.20 / $44.67
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $9.77 / $77.62
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.45 / $14.45 / $14.45
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$53.70 / $63.10 / $100.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $28.18 / $61.66
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $42.66 / $144.54
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $18.62 / $93.33
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $15.14 / $43.65
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $32.36 / $64.57
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $23.44 / $52.48
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $32.36 / $54.95
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $50.12 / $69.18
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $38.90 / $93.33
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $10.47 / $12.88
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $26.92 / $26.92
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $33.88 / $138.04
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.77 / $17.38 / $23.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $15.49 / $41.69