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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 June 2026.

Facilitymedian $24 · 10th–90th $17$1260%20%40%10th90th$24Professionalmedian $29 · 10th–90th $25$1020%20%40%10th90th$29$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$245.47
Typical High
$389.05
Aetna
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$28.84
Typical High
$57.54
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
$23.44
Typical High
$38.02
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$31.62
Typical High
$104.71
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