Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonCPT 89257 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Sperm Collection From Testicle, This Procedure Collects Fluid Or Tissue Directly From A Testicle To Find Out If Sperm Are Present. Fluid Is Taken To Help Diagnose A Blockage. Tissue Is Sampled When Other Methods Would Damage The Testicle.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Reproductive Medicine Procedures |
| Common Place of Service | 11 - Office 24 - Ambulatory Surgical Center |
| Common Modifiers | 59 - Distinct Procedural Service LT - Left side of body RT - Right side of body |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 89257 |
National average reimbursement for CPT 89257 by major payers:
$100.00
$49.76
$315.43
$613.92
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 89257.
CPT 89257
5 of 25 sample ratesHigher to lower in this preview
St. Tammany Parish Hospital Service District No 1, St. Tammany Parish Hospital
$157.14Published rateEastland Memorial Hospital District, Eastland Memorial Hospital
$60.90Published rateDecatur Health Services, LLC
$49.75Published rateEmerus Bhs Sa Thousand Oaks, LLC, Baptist Neighborhood Hospital
Emerus Bhs Sa Thousand Oaks LLC
$49.75Published rateFairway Medical Center, LLC, Avala
Fairway Medical Center, LLC Dba Avala
$21.09Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 89257 vs. Other Reproductive Medicine Procedures Codes
The CPT 89257 code is part of the Pathology and Laboratory Procedures services used for Reproductive Medicine Procedures. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 89257 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 89253-CPT | Moderate | Fertility Procedure, Laboratory Procedure To Help Induce A Pregnancy Through In-Vitro Fertilization Or Another Infertility Treatment Technique. |
| 89257-CPT | Low | Sperm Collection From Testicle, This Procedure Collects Fluid Or Tissue Directly From A Testicle To Find Out If Sperm Are Present. Fluid Is Taken To Help Diagnose A Blockage. Tissue Is Sampled When Other Methods Would Damage The Testicle. |
| 89258-CPT | Moderate | Cryopreservation; Embryo |
| 89268-CPT | Moderate | Insemination Of Oocytes |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 89257. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 89257 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 89257) and we'll show you how you compare in 15 minutes or less.