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Sperm Readiness Test For Male Fertility

Arkansas 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 $39 · 10th–90th $35$490%20%40%10th90th$39Professionalmedian $29 · 10th–90th $19$390%10%10th90th$29$20.0$50.0

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
$38.90
Median
$39.81
Typical High
$54.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$28.84
Typical High
$38.90
BCBS
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$48.98
BCBS
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$42.66
Cigna
Setting
Facility
Modifier
Global
Typical Low
$25.12
Median
$40.74
Typical High
$58.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$36.31
Typical High
$45.71
United
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$28.18
Typical High
$36.31
United
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$19.05
Typical High
$31.62