$74.42–$106.07
58323 is specimen preparation. Use 58321 for the insemination when the prepared sperm is placed by the intracervical route.
On this page
CMS RVU26D · Effective 2026-10-01
58323 Sperm washing Medicare reimbursement rates
Reports laboratory preparation of a semen specimen by washing and concentrating sperm for use in an artificial insemination procedure. Compare 58323 office and facility rates across CMS payment localities.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 58323?
The service location and office or facility setting determine which base rate applies. These are the supported base rates for the 109 payment areas shown below, using the same CMS release.
Office / nonfacility
$13.20–$18.16
109 of 109 localities have a supported rate.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Where 58323 pays more and less
109 payment localities
$13.20 to $18.16
Reproductive medicine
About 58323: Sperm washing for insemination
Reports laboratory preparation of a semen specimen by washing and concentrating sperm for use in an artificial insemination procedure.
Sperm washing processes a semen specimen to separate sperm from seminal fluid and other material and concentrate sperm for insemination. Fertility laboratory personnel typically prepare the specimen for a reproductive endocrinologist or other clinician performing artificial insemination in a fertility clinic or related setting. The washing service prepares the sample; it does not describe placing it in the reproductive tract.
Report 58323 when sperm washing is performed for artificial insemination, supported by documentation of the specimen preparation and its intended use. When insemination is also performed, report the applicable insemination service separately; same-session multiple-procedure payment reduction may apply, with the highest-valued procedure paid in full and other procedures reduced. The 0-day global period includes same-day preoperative and postoperative care. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 58323
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU0.22 · 50%
- Practice expense (office) RVU0.18 · 41%
- Malpractice RVU0.04 · 9%
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
58323 compared with similar codes
Office rate ranges across all CMS payment localities, from the same CMS release.
$82.62–$116.28
58323 is specimen preparation. Use 58322 for the insemination when the prepared sperm is placed by the intrauterine route.
See how rates vary across the country
58323 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
$13.20
$18.16
Color shows the midpoint of each state’s locality range.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | $18.16 | 1 |
| AL | $13.37 | 1 |
| AR | $13.20 | 1 |
| AZ | $14.32 | 1 |
| CA | $14.78–$17.54 | 29 |
| CO | $14.88 | 1 |
| CT | $15.59 | 1 |
| DC | $16.31 | 1 |
| DE | $14.53 | 1 |
| FL | $15.10–$16.99 | 3 |
| GA | $14.30–$15.08 | 2 |
| GU | $14.96 | 1 |
| HI | $14.96 | 1 |
| IA | $13.38 | 1 |
| ID | $13.51 | 1 |
| IL | $14.93–$16.51 | 4 |
| IN | $13.57 | 1 |
| KS | $13.46 | 1 |
| KY | $13.92 | 1 |
| LA | $13.95–$14.52 | 2 |
| MA | $14.86–$16.02 | 2 |
| MD | $14.73–$16.31 | 3 |
| ME | $13.71–$14.15 | 2 |
| MI | $14.35–$15.40 | 2 |
| MN | $13.93 | 1 |
| MO | $13.83–$14.41 | 3 |
| MS | $13.51 | 1 |
| MT | $14.69 | 1 |
| NC | $13.81 | 1 |
| ND | $13.90 | 1 |
| NE | $13.40 | 1 |
| NH | $14.78 | 1 |
| NJ | $15.67–$16.21 | 2 |
| NM | $14.47 | 1 |
| NV | $14.48 | 1 |
| NY | $14.00–$17.45 | 5 |
| OH | $14.18 | 1 |
| OK | $13.76 | 1 |
| OR | $14.28–$15.14 | 2 |
| PA | $14.13–$15.33 | 2 |
| PR | $14.74 | 1 |
| RI | $14.89 | 1 |
| SC | $14.04 | 1 |
| SD | $13.81 | 1 |
| TN | $13.53 | 1 |
| TX | $14.06–$15.22 | 8 |
| UT | $14.20 | 1 |
| VA | $14.20–$16.31 | 2 |
| VI | $14.74 | 1 |
| VT | $13.98 | 1 |
| WA | $14.79–$16.18 | 2 |
| WI | $13.52 | 1 |
| WV | $14.48 | 1 |
| WY | $14.35 | 1 |
Compare 58323 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | Office $13.37 | Facility $9.57 |
| Alaska* | Office $18.16 | Facility $13.54 |
| Arizona | Office $14.32 | Facility $10.11 |
| Arkansas | Office $13.20 | Facility $9.47 |
| Atlanta | Office $15.08 | Facility $10.67 |
| Austin | Office $14.91 | Facility $10.31 |
| Bakersfield | Office $14.89 | Facility $10.13 |
| Baltimore/Surr. Cntys | Office $15.57 | Facility $10.91 |
| Beaumont | Office $14.06 | Facility $10.11 |
| Brazoria | Office $14.41 | Facility $10.10 |
| Chicago | Office $16.51 | Facility $12.14 |
| Chico | Office $14.78 | Facility $10.02 |
| Colorado | Office $14.88 | Facility $10.26 |
| Connecticut | Office $15.59 | Facility $10.91 |
| Dallas | Office $14.55 | Facility $10.22 |
| Dc + Md/Va Suburbs | Office $16.31 | Facility $11.20 |
| Delaware | Office $14.53 | Facility $10.24 |
| Detroit | Office $15.40 | Facility $11.21 |
| East St. Louis | Office $15.57 | Facility $11.58 |
| El Centro | Office $14.79 | Facility $10.03 |
| Fort Lauderdale | Office $15.85 | Facility $11.46 |
| Fort Worth | Office $14.51 | Facility $10.22 |
| Fresno | Office $14.78 | Facility $10.02 |
| Galveston | Office $14.48 | Facility $10.17 |
| Hanford-Corcoran | Office $14.78 | Facility $10.02 |
| Hawaii, Guam | Office $14.96 | Facility $10.02 |
| Houston | Office $15.22 | Facility $10.90 |
| Idaho | Office $13.51 | Facility $9.52 |
| Indiana | Office $13.57 | Facility $9.55 |
| Iowa | Office $13.38 | Facility $9.41 |
| Kansas | Office $13.46 | Facility $9.53 |
| Kentucky | Office $13.92 | Facility $10.06 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office $15.65 | Facility $10.51 |
| Madera | Office $14.78 | Facility $10.02 |
| Manhattan | Office $16.92 | Facility $11.88 |
| Merced | Office $14.78 | Facility $10.02 |
| Metropolitan Boston | Office $16.02 | Facility $10.83 |
| Metropolitan Kansas City | Office $14.30 | Facility $10.22 |
| Metropolitan Philadelphia | Office $15.33 | Facility $10.81 |
| Metropolitan St. Louis | Office $14.41 | Facility $10.28 |
| Miami | Office $16.99 | Facility $12.47 |
| Minnesota | Office $13.93 | Facility $9.46 |
| Mississippi | Office $13.51 | Facility $9.77 |
| Modesto | Office $14.78 | Facility $10.02 |
| Montana** | Office $14.69 | Facility $10.35 |
| Napa | Office $16.41 | Facility $10.69 |
| Nebraska | Office $13.40 | Facility $9.39 |
| Nevada** | Office $14.48 | Facility $10.13 |
| New Hampshire | Office $14.78 | Facility $10.26 |
| New Mexico | Office $14.47 | Facility $10.48 |
| New Orleans | Office $14.52 | Facility $10.44 |
| North Carolina | Office $13.81 | Facility $9.76 |
| North Dakota** | Office $13.90 | Facility $9.56 |
| Northern Nj | Office $16.21 | Facility $11.18 |
| Nyc Suburbs/Long Island | Office $17.45 | Facility $12.29 |
| Ohio | Office $14.18 | Facility $10.22 |
| Oklahoma | Office $13.76 | Facility $9.88 |
| Oxnard-Thousand Oaks-Ventura | Office $15.49 | Facility $10.36 |
| Portland | Office $15.14 | Facility $10.32 |
| Poughkpsie/N Nyc Suburbs | Office $15.88 | Facility $11.12 |
| Puerto Rico | Office $14.74 | Facility $10.35 |
| Queens | Office $16.85 | Facility $11.72 |
| Redding | Office $14.78 | Facility $10.02 |
| Rest Of California | Office $14.78 | Facility $10.02 |
| Rest Of Florida | Office $15.10 | Facility $10.95 |
| Rest Of Georgia | Office $14.30 | Facility $10.43 |
| Rest Of Illinois | Office $14.93 | Facility $10.96 |
| Rest Of Louisiana | Office $13.95 | Facility $10.11 |
| Rest Of Maine | Office $13.71 | Facility $9.72 |
| Rest Of Maryland | Office $14.73 | Facility $10.34 |
| Rest Of Massachusetts | Office $14.86 | Facility $10.29 |
| Rest Of Michigan | Office $14.35 | Facility $10.38 |
| Rest Of Missouri | Office $13.83 | Facility $10.09 |
| Rest Of New Jersey | Office $15.67 | Facility $10.93 |
| Rest Of New York | Office $14.00 | Facility $9.87 |
| Rest Of Oregon | Office $14.28 | Facility $9.95 |
| Rest Of Pennsylvania | Office $14.13 | Facility $10.14 |
| Rest Of Texas | Office $14.26 | Facility $10.14 |
| Rest Of Washington | Office $14.79 | Facility $10.22 |
| Rhode Island | Office $14.89 | Facility $10.40 |
| Riverside-San Bernardino-Ontario | Office $15.21 | Facility $10.45 |
| Sacramento-Roseville-Folsom | Office $15.32 | Facility $10.27 |
| Salinas | Office $15.26 | Facility $10.23 |
| San Diego-Chula Vista-Carlsbad | Office $15.48 | Facility $10.29 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office $17.14 | Facility $11.01 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office $17.09 | Facility $10.97 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office $17.54 | Facility $11.28 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office $17.36 | Facility $11.10 |
| San Luis Obispo-Paso Robles | Office $15.04 | Facility $10.09 |
| Santa Cruz-Watsonville | Office $15.52 | Facility $10.25 |
| Santa Maria-Santa Barbara | Office $15.28 | Facility $10.22 |
| Santa Rosa-Petaluma | Office $15.67 | Facility $10.34 |
| Seattle (King Cnty) | Office $16.18 | Facility $10.86 |
| South Carolina | Office $14.04 | Facility $10.03 |
| South Dakota** | Office $13.81 | Facility $9.47 |
| Southern Maine | Office $14.15 | Facility $9.85 |
| Stockton | Office $14.78 | Facility $10.02 |
| Suburban Chicago | Office $15.94 | Facility $11.48 |
| Tennessee | Office $13.53 | Facility $9.58 |
| Utah | Office $14.20 | Facility $10.12 |
| Vallejo | Office $16.35 | Facility $10.63 |
| Vermont | Office $13.98 | Facility $9.68 |
| Virgin Islands | Office $14.74 | Facility $10.35 |
| Virginia | Office $14.20 | Facility $9.93 |
| Visalia | Office $14.78 | Facility $10.02 |
| West Virginia | Office $14.48 | Facility $10.71 |
| Wisconsin | Office $13.52 | Facility $9.36 |
| Wyoming** | Office $14.35 | Facility $10.01 |
| Yuba City | Office $14.78 | Facility $10.02 |
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58323 billing questions
How is 58323 different from 58321 or 58322?
58323 covers washing the sperm specimen. Codes 58321 and 58322 describe the insemination route: intracervical and intrauterine, respectively.
Can 58323 be reported with an insemination code?
When sperm washing and insemination are both performed and documented, report 58323 for preparation and the applicable code for the insemination. Same-session multiple-procedure payment reduction may apply.
What documentation supports 58323?
Document that a semen specimen was washed and prepared for artificial insemination. The record should distinguish this preparation from the insemination procedure itself.
Should modifier 50 be appended?
No. Bilateral adjustment is not appropriate for this service, so modifier 50 should not be used.
What is included in the global period?
The 0-day global period includes same-day preoperative and postoperative care.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
6,54158301,,Remove intrauterine device,A,,1.24,1.89,,0.28,,0.21,3.34,1.73,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,54258321,,Artificial insemination,A,,0.90,1.45,,0.19,,0.16,2.51,1.25,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,54358322,,Artificial insemination,A,,1.07,1.52,,0.23,,0.19,2.78,1.49,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,54458323,,Sperm washing,A,,0.22,0.18,,0.05,,0.04,0.44,0.31,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,54558340,,Catheter for hysterography,A,,0.86,6.09,,0.56,,0.14,7.09,1.56,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,54658345,,Reopen fallopian tube,A,,4.58,2.25,NA,2.25,,0.81,7.64,7.64,0,010,0.10,0.80,0.10,2,1,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,54758346,,Insert heyman uteri capsule,A,,7.37,4.62,NA,4.62,,0.58,12.57,12.57,0,090,0.12,0.74,0.14,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00