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Sperm Readiness Test For Male Fertility

Massachusetts 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 July 2026.

How much does Sperm Readiness Test For Male Fertility cost?

$31.62

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $31.62 for this service. The price depends on where it is billed: about $31.62 from a physician practice, and about $54.95 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$31.62$21.88 to $31.62
FacilityA hospital or hospital-owned outpatient department$54.95$31.62 to $93.33

How much rates vary

Facilitymedian $55 · 10th to 90th $22 to $135Professionalmedian $32 · 10th to 90th $19 to $52
$20$100$500$2Kfacility $55professional $32

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$54.95
Typical High
$93.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$21.88
Typical High
$25.70
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$19.05
Typical High
$47.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$21.38
Median
$24.55
Typical High
$51.29
Cigna
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$38.02
Typical High
$47.86
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$4,897.79
Typical High
$9,772.37
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$53.70
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$31.62
Typical High
$52.48
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$19.05
Typical High
$47.86
United
Setting
Facility
Modifier
Global
Typical Low
$19.05
Median
$31.62
Typical High
$38.02
United
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$29.51
Typical High
$38.02

Where Massachusetts sits

The same service costs 3.2 times more in South Dakota than in Kentucky. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Massachusetts· 20th of 51

$31.62

SD $60.26KY $19.05

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.