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Sperm Readiness Test For Male Fertility

Michigan 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 $30 · 10th–90th $30$550%50%90th$30Professionalmedian $26 · 10th–90th $20$370%20%10th90th$26$10.0$50.0$200.0$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
$30.20
Median
$30.20
Typical High
$54.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$26.92
Typical High
$37.15
BCBS
Setting
Facility
Modifier
Global
Typical Low
$22.39
Median
$22.39
Typical High
$22.39
BCBS
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$22.39
Typical High
$22.39
Cigna
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$38.02
Typical High
$47.86
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$75.86
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$31.62
Typical High
$42.66
United
Setting
Facility
Modifier
Global
Typical Low
$19.05
Median
$31.62
Typical High
$31.62
United
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$19.05
Typical High
$31.62