go back

Sperm Readiness Test For Male Fertility

Hawaii 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 $32 · 10th–90th $26$380%10%20%10th90th$32Professionalmedian $29 · 10th–90th $17$400%10%20%10th90th$29$20.0$50.0

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
$26.30
Median
$31.62
Typical High
$38.02
Aetna
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$25.70
Typical High
$30.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$38.02
Typical High
$38.02
HMSA
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$37.15
Typical High
$39.81
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$38.02
Typical High
$47.86
United
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$31.62
Typical High
$47.86