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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 June 2026.

Facilitymedian $55 · 10th–90th $32$1000%20%10th90th$55Professionalmedian $29 · 10th–90th $25$620%20%10th90th$29$20.0$50.0$100.0$200.0$500.0$1.0K

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
$57.54
Median
$57.54
Typical High
$81.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$28.84
Typical High
$61.66
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
$43.65
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
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