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Sperm Readiness Test For Male Fertility

Florida 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?

$20.42

Typical negotiated rate. In Florida, July 2026.

Insurers have agreed to pay about $20.42 for this service. The price depends on where it is billed: about $20.42 from a physician practice, and about $58.88 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 6 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$20.42$19.05 to $21.88
FacilityA hospital or hospital-owned outpatient department$58.88$31.62 to $93.33

How much rates vary

Facilitymedian $59 · 10th to 90th $23 to $170Professionalmedian $20 · 10th to 90th $19 to $23
$10$20$50$100facility $59professional $20

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
$22.91
Median
$87.10
Typical High
$173.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$20.42
Typical High
$22.91
AvMed
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$31.62
Typical High
$31.62
AvMed
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$31.62
Typical High
$31.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$17.38
Median
$23.44
Typical High
$128.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$45.71
Typical High
$151.36
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$58.88
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$19.05
Typical High
$28.18
United
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$28.18
Typical High
$31.62
United
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$13.18
Typical High
$31.62
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$19.05
Typical High
$31.62

Where Florida 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.

Florida· 50th of 51

$20.42

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.