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Sperm Readiness Test For Male Fertility

Illinois 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 $52 · 10th–90th $32$950%10%10th90th$52Professionalmedian $27 · 10th–90th $20$390%20%10th90th$27$10.0$50.0$200.0$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
$32.36
Median
$52.48
Typical High
$95.50
Aetna
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$25.70
Typical High
$37.15
BCBS
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$42.66
Typical High
$51.29
BCBS
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$31.62
Typical High
$31.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$69.18
Typical High
$162.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$38.02
Typical High
$47.86
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$44.67
Typical High
$151.36
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$40.74
Typical High
$40.74
United
Setting
Facility
Modifier
Global
Typical Low
$25.12
Median
$31.62
Typical High
$63.10
United
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$19.05
Typical High
$31.62