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Sperm Readiness Test For Male Fertility

Idaho 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?

$31.62

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $31.62 for this service. The price depends on where it is billed: about $31.62 from a physician practice, and about $47.86 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 8 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$31.62$29.51 to $61.66
FacilityA hospital or hospital-owned outpatient department$47.86$31.62 to $79.43

How much rates vary

Facilitymedian $48 · 10th to 90th $32 to $100Professionalmedian $32 · 10th to 90th $22 to $1,445
$20$50$100$200$500$1Kfacility $48professional $32

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
$57.54
Median
$81.28
Typical High
$81.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$61.66
Typical High
$1,445.44
BCBS
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$54.95
Typical High
$114.82
BCBS
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$27.54
Typical High
$32.36
Cigna
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$123.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$36.31
Typical High
$45.71
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$31.62
Typical High
$40.74
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$31.62
Typical High
$38.02
Molina
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$77.62
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$58.88
Typical High
$114.82
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$26.92
Typical High
$33.11
Select Health
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$31.62
Typical High
$40.74
Select Health
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$31.62
Typical High
$31.62
United
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$13.18
Typical High
$31.62

Where Idaho 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.

Idaho· 22nd of 51

$31.62

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.