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Sperm Readiness Test For Male Fertility

Kentucky 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 $32 · 10th–90th $24$760%20%10th90th$32Professionalmedian $24 · 10th–90th $4$300%20%40%10th90th$24$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
$23.99
Median
$31.62
Typical High
$75.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$25.12
Typical High
$30.20
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4.37
Median
$4.37
Typical High
$4.37
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.37
Median
$4.37
Typical High
$4.90
CareSource
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$478.63
Typical High
$46,773.51
CareSource
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$42.66
Typical High
$588.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$50.12
Typical High
$67.61
Cigna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$151.36
Typical High
$151.36
Molina
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$14.13
Median
$31.62
Typical High
$38.02
United
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$19.05
Typical High
$31.62