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Sperm Readiness Test For Male Fertility

Arizona 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 $48 · 10th–90th $20$1510%5%10th90th$48Professionalmedian $24 · 10th–90th $17$300%10%20%10th90th$24$10.0$20.0$50.0$100.0

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
$24.55
Median
$63.10
Typical High
$162.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$23.99
Typical High
$30.20
BCBS
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$79.43
Typical High
$144.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$26.92
Typical High
$128.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$19.05
Median
$24.55
Typical High
$74.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$38.02
Typical High
$47.86
Medica
Setting
Facility
Modifier
Global
Typical Low
$16.60
Median
$23.99
Typical High
$151.36
Medica
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$13.18
Typical High
$31.62
United
Setting
Facility
Modifier
Global
Typical Low
$23.44
Median
$31.62
Typical High
$38.02
United
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$13.18
Typical High
$31.62