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Sperm Readiness Test For Male Fertility

Louisiana 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 $44 · 10th–90th $32$1510%10%10th90th$44Professionalmedian $24 · 10th–90th $16$410%10%20%10th90th$24$10.0$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
$33.88
Median
$45.71
Typical High
$162.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$25.12
Typical High
$40.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$102.33
Typical High
$239.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$36.31
Typical High
$45.71
United
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$28.18
Typical High
$31.62
United
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$15.85
Typical High
$34.67