How much does a semen analysis cost?
A semen analysis is the first test of a man's fertility, and ASRM calls it an essential part of every infertility evaluation. Here is what 14 clinics, labs and urology practices post for one on their own pages, what it measures, why one is often not enough, and what home kits can and cannot tell you.
A lab semen analysis is posted at $35 to $450 without insurance, and most posted prices fall between $100 and $325. The AUA/ASRM guideline says at least two, a month apart, are often needed, so budget for two. Home kits are cheaper, and most measure less; a fertility clinic will want a full semen analysis.
What clinics and labs post for a semen analysis
Each price is the provider's own sentence on its own page, read on the date at the top. Sorted by state, never by price; the test's name and what it covers are in its own words.
| Provider | Test | Posted price | What the price covers, in its words |
|---|---|---|---|
NCFMC Sacramento, CA | Semen analysis with morphology | $250 | “the cash-price is $250.00” Semen analysis with morphology; NCFMC acts as a laboratory only and does not review results A cash price for the lab test alone, on its sample instructions; another provider places the order. |
Florida Institute for Reproductive Sciences and Technologies Weston, FL | Simple semen analysis | $125 | “The cost of a simple semen analysis is $125” Volume, number, motion and shape per the page |
Advanced Fertility Center of Chicago Chicago, IL | Semen Analysis | $100 | “Semen Analysis | $50 - 300 | $100” Its table gives $50 to $300 as the range elsewhere and $100 as its own fee. |
Duke Fertility Center Durham, NC | Semen analysis | $225 to $250 | “Semen analysis: $225-$250” A self-pay estimate on the hospital's cost page. |
Morgan Fertility NJ | Semen Analysis with consultation to review results | $450 | “Your consultation to review results is included. $450” Sperm count, motility, morphology; results consultation included Includes a consultation to review the results. |
Aurea Fertility Center New York, NY | Semen analysis | $300 | “Semen analysis | $300” From the clinic's own article on sperm freezing costs. |
Men's Reproductive Health (Bruce R. Gilbert, MD) Great Neck, NY | Basic Semen Analysis (CASA-based) | $225 | “Basic Semen Analysis | $225 | CASA-based semen analysis” Semen volume, concentration, total count, motility, CASA morphology screening |
Men's Reproductive Health (Bruce R. Gilbert, MD) Great Neck, NY | Comprehensive Semen Analysis (CASA plus detailed manual microscopic review) | $325 | “Comprehensive Semen Analysis | $325 | CASA plus detailed manual microscopic review” CASA plus detailed manual microscopic review |
ReproLab New York, NY | Complete Semen Analysis (including Kruger Strict Morphology) | $225 | “Complete Semen Analysis (including Kruger Strict Morphology) | $225.00” Includes Kruger strict morphology |
ReproLab New York, NY | Partial Semen Analysis | $75 | “Partial Semen Analysis | $75.00” |
Portland, OR | Semen analysis | $174 | “Semen analysis | $174” |
CARE Fertility Bedford, TX | Semen analysis | $100 | “Semen analysis $100” |
Peak Fertility (E2P4 Labs) Plano / Dallas / Grapevine, TX | Semen Analysis (male fertility testing) | $150 | “Semen Analysis $150” |
Urology Specialists of Austin Round Rock / Lakeline / South Austin, TX | Traditional semen analysis for fertility reasons | $35 | “at a cost of $35” |
Male Fertility and Peyronie's Clinic Orem, UT | Semen Analysis (full) | $125 | “Semen Analysis (full) $125” |
Request A Test Online, nationwide | Semen Analysis, Basic | $299 | “Semen Analysis, Basic $299” Sperm count and motility per the page; results in 2-5 business days; plus $4.00 per order service fee Ordered online and done at a partner lab; not offered in every area. |
The WHO's 2021 reference limits
The WHO laboratory manual's 6th edition sets lower reference limits from men whose partners conceived within a year: the 5th percentile, below which 5 in 100 of those fertile men fell.
| Measure | Lower reference limit (WHO 2021) |
|---|---|
| Semen volume | 1.4 mL |
| Sperm concentration | 16 million per mL |
| Total sperm number | 39 million per ejaculate |
| Total motility | 42% |
| Progressive motility | 30% |
| Vitality | 54% |
| Normal forms (morphology) | 4% |
Sources: Boitrelle et al., the sixth edition of the WHO manual (Life, 2021), Table 2 and the 2022 reappraisal of its reference population (concentration).
“In this 6th Edition, it is clearly specified that the 5th centile values are only one way to interpret the results of SA, and the use of the 5th centile alone is not sufficient to diagnose male infertility.”
“The semen analysis is an essential part of the infertility evaluation. A semen analysis should provide information about the number, movement, and shape of the sperm. A semen analysis is necessary even if the partner has had children before.”
Why one analysis is often not enough
From the AUA/ASRM guideline on diagnosing and treating infertility in men (Part I, 2020), in its own words.
“Initial evaluation of the male should also include one or more semen analyses (SAs).”
“at least two SAs, ideally obtained at least one month apart, are important to obtain, especially if the first SA has abnormal parameters.”
“Men with one or more abnormal semen parameters or presumed male infertility should be evaluated by a male reproductive expert for complete history and physical examination as well as other directed tests when indicated.”
“1-6% of men evaluated for infertility have significant undiagnosed medical pathology including malignancies even when they have so-called ‘‘normal’’ SAs”
“The semen sample should be collected after 2-7 days of abstinence and should be submitted to the laboratory within 1 hour of collection.”
What tests added to a semen analysis cost
A sperm DNA fragmentation test or a specialist consultation, when a doctor orders one, as providers post them.
| Provider | Test | Posted price | What the price covers, in its words |
|---|---|---|---|
Florida Institute for Reproductive Sciences and Technologies Weston, FL | Sperm DNA fragmentation test | $400 | “The fee for this test is $400.” |
Aurea Fertility Center New York, NY | Sperm DNA fragmentation test | $550 | “sperm DNA fragmentation test ($550)” From the clinic's own article on sperm freezing costs. |
ReproLab New York, NY | Sperm DNA Fragmentation Assay | $400 | “Sperm DNA Fragmentation Assay | $400.00” |
Portland, OR | Sperm chromatin structure assay (SCSA, a DNA fragmentation test) | $655 | “Sperm chromatin structure assay (SCSA) | $655” |
CARE Fertility Bedford, TX | DNA fragmentation (includes semen analysis) | $200 | “DNA fragmentation (includes semen analysis) $200” Includes a semen analysis |
Peak Fertility (E2P4 Labs) Plano / Dallas / Grapevine, TX | Sperm DNA Fragmentation Testing | $300 | “Sperm DNA Fragmentation Testing $300” |
Male Fertility and Peyronie's Clinic Orem, UT | DNA Fragmentation (clinic fee + semen analysis + Reprosource lab) | $475 | “DNA Fragmentation ≈ $475” |
Male Fertility and Peyronie's Clinic Orem, UT | Male infertility clinical consult (may run through insurance) | $200 | “Clinical Consult* $200” |
Home sperm tests: cheaper, and narrower
A home kit is a first check before you book a lab. Its FDA record says what it measures.
“SpermCheck® Fertility is a qualitative test that detects sperm concentration at or above 20,000,000 sperm/mL. The test is intended for use as an aid in the determination of a man's fertility status.”
“MSC is one aspect of a male semen examination. The YO™ Home Sperm Test does not provide a comprehensive evaluation of a male’s fertility status”
Home sperm tests, lowest price first
- SpermCheck Fertilitysingle-use at-home sperm-concentration test$49 (1-pack)SpermCheckPartner
- myLAB Box At-Home Male Fertility Testat-home semen analysis read on a phone: sperm count and motility, with a recorded video of the sample10% off any product with code GO10$99 one-timemyLAB BoxPartner
- YO Home Sperm Testreusable smartphone-based device plus 3 single-use sperm tests: concentration and motility$99.95 one-timeYO Home Sperm TestPartner
- Legacy at-home semen analysisat-home mail-in semen analysis: volume, count and concentration, motility (freezing extra)from $145 one-time
- Bird&Be Comprehensive Semen Analysismail-in semen analysis at a CLIA-certified, CAP-accredited andrology lab: 20 parameters including volume, count, morphology and a full motility breakdown15% off a first order through the link$249 one-timeBird&BePartner
Links marked Partner are referral links: if you buy through one, we may earn a commission at no extra cost to you. It never changes the price you pay or the data shown. How partners are handled
What a post-vasectomy semen analysis costs
The check that confirms a vasectomy worked, as providers post it.
| Provider | Test | Posted price | What the price covers, in its words |
|---|---|---|---|
Men's Reproductive Health (Bruce R. Gilbert, MD) Great Neck, NY | Post-Vasectomy Semen Analysis | $150 | “Post-Vasectomy Semen Analysis $150” Residual sperm evaluation, motility if sperm present, manual microscopic confirmation when indicated |
ReproLab New York, NY | Post Vasectomy Analysis | $125 | “Post Vasectomy Analysis | $125.00” |
Portland, OR | Sperm count (post vasectomy) | $43 | “Sperm count (post vasectomy) | $43” |
Urology Specialists of Austin Round Rock / Lakeline / South Austin, TX | Traditional semen analysis for post-vasectomy patients | Free | “Traditional semen analysis performed for post-vasectomy patients is free for life” |
Male Fertility and Peyronie's Clinic Orem, UT | Semen Analysis (post-vasectomy) | $50 | “Semen Analysis (post-vasectomy) $50” |
Request A Test Online, nationwide | Semen Analysis, Postvasectomy | $65 | “Semen Analysis, Postvasectomy $65” Qualitative presence of sperm; results 1-3 business days; plus $4.00 per order service fee Ordered online and done at a partner lab; not offered in every area. |
“Eight to sixteen weeks after vasectomy is the appropriate time range for the first PVSA.”
“Patients may stop using other methods of contraception when examination of one well-mixed, uncentrifuged, fresh post-vasectomy semen specimen shows azoospermia or only rare non-motile sperm (RNMS or ≤ 100,000 non-motile sperm/mL).”
“The risk of pregnancy after vasectomy is approximately 1 in 2,000 for men who have post-vasectomy azoospermia or PVSA showing rare non-motile sperm (RNMS).”
Want children after a vasectomy? A reversal is followed by semen analyses to check that sperm came back: what a vasectomy reversal costs against IVF.
When a plan pays, it may pay once
Two health plans' medical policies, in their words. Your own plan's policy decides yours.
“Semen analysis: (once per lifetime)”
“This benefit is limited to a maximum of one each of the following tests per lifetime for infertility diagnosis: A. Semen analysis”
Common questions about semen analysis cost
How much does a semen analysis cost without insurance?
14 US clinics, labs and urology practices we found post a self-pay price on their own pages: from $35 to $450 for one analysis. Most posted prices fall between $100 and $325; the highest we found includes a consultation on the results. A sperm DNA fragmentation test, when a doctor adds one, is posted at $200 to $655.
Do I need more than one semen analysis?
Often, yes. The AUA/ASRM guideline on male infertility says at least two analyses, ideally at least one month apart, are important, especially when the first one has abnormal results, and that a man with any abnormal result should be seen by a male reproductive expert.
What is a normal semen analysis?
The WHO laboratory manual (6th edition, 2021) gives lower reference limits drawn from fertile men: 1.4 mL of semen, 16 million sperm per mL, 39 million in total, 42% moving (30% moving forward), and 4% normal forms. The manual says these 5th-percentile values alone are not enough to diagnose male infertility.
Is an at-home sperm test as good as a lab semen analysis?
No. Home kits cost $49 to $249, and the ones you read yourself measure one or two things: SpermCheck Fertility's FDA record describes a yes-or-no test for a concentration at or above 20 million per mL, and the FDA record of the YO test says it does not provide a comprehensive evaluation of a man's fertility. Mail-in kits send the sample to a lab and report more, such as volume, count and motility.
How much does a post-vasectomy semen analysis cost?
Labs and practices post $43 to $150; one urology practice does it free for life. The AUA vasectomy guideline puts the first check at 8 to 16 weeks after the vasectomy.
Does insurance cover a semen analysis?
Some plans do, with limits: two health plans' medical policies we read allow one semen analysis per lifetime for an infertility diagnosis. Ask your plan before you pay yourself.