Semen Analysis Cost, and How to Get One Without a Referral

Semen analysis prices without insurance

Prices are what each lab, clinic or brand listed on the date shown; Legacy lists its prices as sale prices. They change, so check before you buy.

For reference, Medicare's 2026 national lab fee for a semen analysis covering volume, count, motility and differential (CPT 89320) is $12.31, and $15.50 for one with strict morphology (CPT 89322), according to FeeBase's reading of the CMS Clinical Laboratory Fee Schedule. That is what Medicare pays a lab, not a price you can buy at, but it is a useful benchmark when a bill looks high.

Full analysis or home screening test: what the price buys

The two are not the same test. A full lab semen analysis reports volume, sperm count and concentration, motility (how many move) and morphology (shape), which is what a clinician needs to plan next steps. The WHO laboratory manual sets out how labs should measure each one.

A home screening test answers one narrower question. The FDA cleared SpermCheck Fertility as a qualitative test of whether concentration is at or above 20 million sperm per milliliter, and YO measures motile sperm concentration. Neither reports morphology or volume. A screen is a reasonable first look; it is not a diagnosis, and a normal screen does not rule out a male factor.

This matters for cost, because a cheap screen followed by a full analysis costs more than the full analysis alone. Male factor is part of the problem in about half of infertile couples, according to the AUA/ASRM guideline, so if you have been trying for a while, start with the full test. Details on accuracy are in at-home semen analysis.

How to get a semen analysis without a referral

• Order a mail-in lab kit. Fellow and Legacy sell their kits directly on their websites. He collects at home and ships the sample overnight in the prepaid packaging. Legacy asks for collection and shipping on the same day, Monday to Thursday, and reports results within 48 hours of the lab receiving the sample; Fellow says results come back within 2 business days.
• Call a fertility clinic or hospital andrology lab. OHSU and Duke publish self-pay prices. Ask whether they need a clinician's order and whether the sample has to be produced on site.
• Join a program that orders it for you. In Gala Fertility, his semen analysis is part of the couple's workup, ordered by your clinician and read alongside her results.

Without a referral, you also go without someone to read the result. A semen analysis comes back as a set of numbers, and NICHD notes that more than one sample may be needed because sperm production varies. Plan for who will interpret it before you buy.

Semen analysis cost with insurance

A semen analysis is billed to the male partner's insurance. If his plan covers infertility diagnosis, it may cost a copay, coinsurance or nothing. Some state laws name it outright: New York requires group plans to cover diagnostic tests including semen analysis. Self-funded employer plans are exempt from state laws.

Ask his insurer whether CPT 89320 is covered, whether a referral or an infertility diagnosis is needed, and which labs are in network. Mail-in kits may not be billable: Legacy says its Basic kit is not eligible for insurance coverage. Our guide to whether insurance covers fertility testing has the full call script, and fertility insurance by state shows what each state law requires.

Do not pay for the test twice

• Abstain 2 to 7 days before collecting, as WHO recommends for diagnostic samples, and follow the kit's own window: Legacy asks for 2 to 5 days.
• Collect the whole sample. Losing part of it lowers the volume and count.
• Ship it the same day, on a day the kit allows, so it reaches the lab on time.
• If a result is abnormal, expect a repeat test before anyone draws conclusions.

Normal ranges and what each number means are in the male fertility test page and male infertility causes.

His analysis and her workup, one price: Gala Fertility

Gala Fertility tests both partners together. His semen analysis comes with a kit sent home, plus his bloodwork if your clinician indicates it. Her bloodwork at a Quest lab, preconception screening and pelvic ultrasound are included too, and a clinician explains both partners' results on one video visit, with no separate charge for each test.

The at-home semen analysis kit does not ship to Alaska or Hawaii. Couples there can still join and have his kit delivered to another address they have in the continental US.

You start with a $29.99 introductory video meeting with the care team, credited to your first payment if you join the program. The medical team is led by Medical Director Dr. Joshua Klein, MD, FACOG, a board-certified reproductive endocrinologist. See how fertility testing for couples works and how much fertility testing costs, or go back to Gala Fertility. Ready? Start together.

More Gala Fertility guides

• AMH levels by age
• At-home semen analysis
• How long to try before fertility testing
• letrozole vs. Clomid
• letrozole for fertility
• Clomid prescription online
• trying to conceive with PCOS
• are at-home fertility tests accurate
• trying to conceive on a GLP-1
• male infertility causes
• fertility test cost
• does insurance cover fertility testing
• AMH test cost
• best at-home fertility tests
• fertility insurance by state

Sources

1. Fellow. Mail-in semen analysis kit ($199). Checked 2026-11-12.
2. Legacy. Sperm testing kits ($145, $295, $495). Checked 2026-11-12.
3. OHSU Center for Women's Health. Fertility lab charges. Checked 2026-11-11.
4. Duke Fertility Center. Estimating self-pay costs. Checked 2026-11-11.
5. YO Home Sperm Test. 3-test kit ($99.95). Checked 2026-11-11.
6. Mira. Male Fertility Kit ($89 sale, $109 regular). Checked 2026-11-12.
7. FeeBase. CPT 89320 and 89322, semen analysis: 2026 Medicare Clinical Laboratory Fee Schedule. Checked 2026-11-12.
8. WHO. WHO laboratory manual for the examination and processing of human semen, 6th edition. 2021.
9. FDA. 510(k) substantial equivalence decision summary: SpermCheck Fertility (K100341). 2010.
10. FDA. 510(k) premarket notification database: YO Home Sperm Test (K161493).
11. American Urological Association. Male infertility guideline (AUA/ASRM, published 2020, amended 2024).
12. NICHD, NIH. How do health care providers diagnose infertility?
13. RESOLVE: The National Infertility Association. Insurance coverage by state. Checked 2026-11-12.

This article is for general information and is not medical advice. Talk to a licensed provider about your own health.