United States
Male fertility testing in the United States
How semen analysis is arranged in the United States, what YO, SpermCheck and Legacy publish, and why insurance is not summarised as one national price.
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- Modified
- Clinician review
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Short answer
In the United States, semen analysis is arranged through a clinician, urologist, fertility clinic or laboratory. Home tests are a different product. YO publishes a 3-test kit at $99.95. SpermCheck publishes a fertility strip at $49. Legacy offers mail-in analysis and freezing, and its homepage says freezing starts at $245 a year. None of those is an approved affiliate, and insurance cover is not a national rule.
Four kinds of test
- 01 Strip
- A yes/no on concentration. Minutes, at home.
- 02 Device
- A few measurements on a phone or reader. Still not a WHO analysis.
- 03 Postal lab
- You produce the sample at home. A laboratory reports it.
- 04 Clinic
- The reference test. Produced for the laboratory, read against WHO limits.
Published US prices
- $99.95YO Home Sperm Test$99.95 is the stated price of the 3-test kit, not a single test.
- $49SpermCheck Fertility$49 is the fertility kit. A vasectomy 2-pack is listed separately at $79.
Providers checked for the United States
Only United States products are listed here. A cell says what that provider's own page stated. None of these links is an affiliate. See UK tests
On a small screen, move the table sideways to see every column.
| Provider | Price | Sample produced | Analysis | Count | Concentration | Motility | Morphology | Volume | Results | Support | Checked |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Medical Electronic SystemsYO Home Sperm Test | $99.95 | At home | At home, on the device | Not published | Yes | Yes | No | No | About 20 minutes | Not published | 2026-10-05 |
| SpermCheckSpermCheck Fertility | $49 | At home | At home, on a test strip | No | Yes | No | No | No | Minutes | Not included | 2026-10-05 |
| LegacyLegacy semen analysis | Not published | At home | Laboratory, by post | Not published | Not published | Not published | Not published | Not published | Not published | Not published | 2026-10-05 |
- Medical Electronic Systems. $99.95 is the stated price of the 3-test kit, not a single test. The maker describes the kit as FDA-cleared. That is a device clearance, not a laboratory accreditation.
- SpermCheck. $49 is the fertility kit. A vasectomy 2-pack is listed separately at $79. The maker describes the kit as FDA-cleared. It detects an SP-10 protein threshold. It is not a WHO semen analysis, and its own wording of a normal count is not the reference limit used on SemenBoost.
- Legacy. The analysis price is not published as a single figure here. The homepage says sperm freezing starts at $245 per year. That is a starting annual storage price, not a semen-analysis fee and not a full schedule of consultation, screening, collection or multi-year storage. The provider states CLIA 31D2285605 and CLEP PFI 6002, and that the service is available in the United States.
Key takeaways
- AUA/ASRM timing often used in practice is one year if the female partner is under 35, and six months if she is 35 or older. Confirm the current recommendation with the clinician.
- There is no US equivalent of the HFEA that licenses every semen-analysis site.
- CDC and SART report assisted-reproduction outcomes. They are not a semen-analysis shop window.
- Do not read a home test against the WHO limits as if it were a full laboratory analysis.
The evaluation
A useful US work-up is a history, an examination, and a semen analysis, repeated when abnormal. The AUA/ASRM guideline is the professional reference SemenBoost cites, including its warning not to use testosterone in men who want fertility. Hormone tests, genetic tests and imaging are added for specific findings, such as azoospermia, not for every slightly low motility.
Paying for it
Ask the laboratory for a written estimate and ask the insurer whether diagnostic semen analysis is covered on your plan. State mandates about fertility treatment, where they exist, are mostly about IVF benefits, not a promise that a semen analysis is free. No median US price is published on this site.
Clinic outcome data
The CDC ART pages and SART publish information about assisted reproduction. They help people compare IVF clinics. They do not tell you where to get a high-quality diagnostic semen analysis, and SemenBoost has not imported either dataset.
Home tests
YO is a home device that reports concentration and motility, not morphology or volume. SpermCheck is a strip that sorts a concentration threshold. Legacy is a mail-in laboratory service that also freezes sperm. The testing comparison shows which cells we could verify. A home result should not be read as if it were a full WHO analysis.
Related
Sources
- Diagnosis and Treatment of Infertility in Men: AUA/ASRM Guideline (amended 2024) — American Urological Association, 2024
- Diagnosis and treatment of infertility in men: AUA/ASRM guideline part II — American Society for Reproductive Medicine, 2021
- WHO laboratory manual for the examination and processing of human semen, 6th edition — World Health Organization, 2021
- Assisted reproductive technology (ART) — Centers for Disease Control and Prevention
- Society for Assisted Reproductive Technology — SART
How this page was prepared
Drafted with automated research assistance and checked against the cited primary sources. A named clinician has not reviewed this page. Medical review is pending. Changes to reference values are not published automatically.