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Semen Analysis, Sperm Presence or Motility

North Carolina rates for HCPCS G0027

Semen analysis; presence and/or motility of sperm excluding Huhner

Rates data updated July 2026.

How much does Semen Analysis, Sperm Presence or Motility cost?

$5.25

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $5.25 for this service. The price depends on where it is billed: about $5.25 from a physician practice, and about $10.72 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 6 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$5.25$5.25 to $6.46
FacilityA hospital or hospital-owned outpatient department$10.72$5.25 to $19.95

How much rates vary

Facilitymedian $11 · 10th to 90th $5 to $28Professionalmedian $5 · 10th to 90th $5 to $11
$5$10$20$50facility $11professional $5

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
$5.25
Median
$11.22
Typical High
$21.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.13
Median
$5.25
Typical High
$10.72
BCBS
Setting
Facility
Modifier
Global
Typical Low
$14.79
Median
$28.18
Typical High
$28.18
BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.57
Median
$6.46
Typical High
$8.51
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4.57
Median
$12.59
Typical High
$29.51
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$4.27
Typical High
$8.51
Medcost
Setting
Professional
Modifier
Global
Typical Low
$5.37
Median
$13.18
Typical High
$13.18
Medcost
Setting
Facility
Modifier
Global
Typical Low
$4.37
Median
$5.62
Typical High
$12.59
Medcost
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$4.27
Typical High
$46.77
United
Setting
Facility
Modifier
Global
Typical Low
$3.39
Median
$8.51
Typical High
$11.48
United
Setting
Professional
Modifier
Global
Typical Low
$3.89
Median
$6.31
Typical High
$9.12
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$85.11

Where North Carolina sits

The same service costs 2.3 times more in Vermont than in Maryland. 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.

North Carolina· 48th of 51

$5.25

VT $11.22MD $4.90

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.