CPT 89321: Semen Analysis for Presence and Motility of Sperm
Commercial payers pay $21 on average nationally for this procedure.
CPT code 89321 describes a laboratory semen analysis service in which a clinical laboratory analyst examines a semen specimen for the presence of sperm and, if performed, assesses sperm motility; the service is a diagnostic laboratory test typically performed in a clinical laboratory or hospital laboratory setting and is used in the evaluation of male fertility and related conditions.
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National Reimbursement Benchmarks
For CPT 89321, the BUCA average commercial benchmark sits at $21.2, positioning it above Aetna and UnitedHealth Group means and near Cigna’s mean but below Blue Cross Blue Shield’s higher average. Blue Cross Blue Shield shows the highest dispersion with an interquartile range (P75–P25) of $8.8 ($31.7–$22.9), reflecting wider variability in negotiated commercial rates. Cigna’s IQR is $9.8 ($17.0–$7.2), also relatively wide, while Aetna’s IQR is $4.0 ($12.0–$8.0), indicating tighter clustering.
UnitedHealth Group has the tightest middle spread with an IQR of $6.0 ($12.1–$6.0), suggesting more consistent commercial payments around its median. BUCA’s quartiles ($24.0 P75, $16.0 P25) yield an IQR of $8.0, placing it between the narrowest and widest payers; its mean of $21.2 reflects that central tendency. These comparisons highlight that Blue Cross Blue Shield and Cigna contribute most to national variability, while Aetna and UnitedHealth Group present more compressed commercial ranges.