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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 June 2026.

Facilitymedian $71 · 10th–90th $22$1020%20%10th90th$71Professionalmedian $30 · 10th–90th $19$480%20%10th90th$30$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
$21.88
Median
$70.79
Typical High
$97.72
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$23.99
Typical High
$30.20
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
$15.85
Median
$31.62
Typical High
$38.02
United
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$28.18
Typical High
$38.02