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Sperm Readiness Test For Male Fertility

Washington, DC 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 $38 · 10th–90th $23$1950%20%40%10th90th$38Professionalmedian $24 · 10th–90th $22$300%50%10th90th$24$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
$22.91
Median
$22.91
Typical High
$194.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$23.99
Typical High
$30.20
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$25.12
Typical High
$25.12
Cigna
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$53.70
Typical High
$120.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$36.31
Typical High
$45.71
United
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$38.02
Typical High
$38.02
United
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$19.05
Typical High
$39.81