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Sperm Readiness Test For Male Fertility

Indiana 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 $45 · 10th–90th $32$1050%20%40%10th90th$45Professionalmedian $25 · 10th–90th $4$300%20%40%10th90th$25$2.0$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$36.31
Median
$48.98
Typical High
$117.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$25.12
Typical High
$30.20
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$31.62
Typical High
$95.50
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.37
Median
$4.37
Typical High
$23.99
CareSource
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$457.09
Typical High
$43,651.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$20.42
Median
$60.26
Typical High
$123.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$36.31
Typical High
$45.71
United
Setting
Facility
Modifier
Global
Typical Low
$17.38
Median
$31.62
Typical High
$31.62
United
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$19.05
Typical High
$34.67