go back

Sperm Readiness Test For Male Fertility

Iowa 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 $49 · 10th–90th $24$850%10%20%10th90th$49Professionalmedian $25 · 10th–90th $20$370%20%10th90th$25$10.0$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
$23.99
Median
$60.26
Typical High
$87.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$25.12
Typical High
$30.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$60.26
Typical High
$75.86
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$40.74
Typical High
$57.54
Medica
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$38.02
Typical High
$85.11
Medica
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$19.05
Typical High
$69.18
Midlands
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$38.02
Typical High
$38.02
United
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$31.62
Typical High
$72.44
United
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$19.05
Typical High
$69.18
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$31.62
Typical High
$31.62