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Sperm Readiness Test For Male Fertility

Connecticut 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?

$20.89

Typical negotiated rate. In Connecticut, July 2026.

Insurers have agreed to pay about $20.89 for this service. The price depends on where it is billed: about $20.89 from a physician practice, and about $45.71 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 5 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$20.89$19.05 to $20.89
FacilityA hospital or hospital-owned outpatient department$45.71$31.62 to $64.57

How much rates vary

Facilitymedian $46 · 10th to 90th $32 to $78Professionalmedian $21 · 10th to 90th $14 to $32
$5$10$20$50$100facility $46professional $21

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
$31.62
Median
$42.66
Typical High
$70.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$20.89
Typical High
$24.55
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$52.48
Typical High
$85.11
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.37
Median
$13.80
Typical High
$31.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$75.86
Typical High
$181.97
Cigna
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$36.31
Typical High
$45.71
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$14.79
Typical High
$18.62
United
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$29.51
Typical High
$54.95

Where Connecticut 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.

Connecticut· 49th of 51

$20.89

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.