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Sperm Readiness Test For Male Fertility

Georgia 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?

$25.12

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $25.12 for this service. The price depends on where it is billed: about $23.99 from a physician practice, and about $31.62 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$23.99$20.89 to $31.62
FacilityA hospital or hospital-owned outpatient department$31.62$20.89 to $42.66

How much rates vary

Facilitymedian $32 · 10th to 90th $9 to $49Professionalmedian $24 · 10th to 90th $4 to $32
$5$10$20$50$100facility $32professional $24

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
$20.89
Median
$25.12
Typical High
$57.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$20.89
Typical High
$30.20
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$8.91
Median
$35.48
Typical High
$42.66
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.37
Median
$31.62
Typical High
$31.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$69.18
Typical High
$95.50
Cigna
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$38.02
Typical High
$47.86
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$36.31
Typical High
$40.74
United
Setting
Facility
Modifier
Global
Typical Low
$17.38
Median
$28.18
Typical High
$31.62
United
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$19.05
Typical High
$31.62

Where Georgia 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.

Georgia· 35th of 51

$25.12

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.