go back

Sperm Readiness Test For Male Fertility

Alaska rates for HCPCS 0255U

Assesses male fertility by examining sperm under a microscope and scoring how many have completed capacitation — the change that makes a sperm able to fertilize an egg. The marker used is ganglioside GM1 on the sperm surface, and the result is reported as a likelihood.

Rates data updated July 2026.

How much does Sperm Readiness Test For Male Fertility cost?

$31.62

Typical negotiated rate. In Alaska, July 2026.

Insurers have agreed to pay about $31.62 for this service. The price depends on where it is billed: about $70.79 from a physician practice, and about $24.55 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$70.79$45.71 to $105
FacilityA hospital or hospital-owned outpatient department$24.55$16.60 to $36.31

How much rates vary

Facilitymedian $25 · 10th to 90th $17 to $141Professionalmedian $71 · 10th to 90th $32 to $105
$20$50$100$200facility $25professional $71

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$229.09
Typical High
$371.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$229.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$87.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$36.31
Typical High
$45.71
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$16.60
Median
$23.99
Typical High
$36.31
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$31.62
Typical High
$102.33
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$125.89
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$70.79
Typical High
$70.79
Providence
Setting
Facility
Modifier
Global
Typical Low
$16.60
Median
$16.60
Typical High
$38.02
Providence
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$31.62
United
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$31.62
Typical High
$95.50

Where Alaska sits

The same service costs 3.2 times more in South Dakota than in Kentucky. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Alaska· 16th of 51

$31.62

SD $60.26KY $19.05

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.