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Sperm Readiness Test For Male Fertility

Minnesota 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 Minnesota, 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 $85.11 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 6 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$28.18 to $36.31
FacilityA hospital or hospital-owned outpatient department$85.11$31.62 to $123

How much rates vary

Facilitymedian $85 · 10th to 90th $32 to $234Professionalmedian $32 · 10th to 90th $25 to $46
$20$50$100$200facility $85professional $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
$2,511.89
Median
$2,511.89
Typical High
$2,511.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$23.44
Typical High
$38.02
BCBS
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$31.62
Typical High
$31.62
BCBS
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$31.62
Typical High
$31.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$107.15
Typical High
$295.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$45.71
Typical High
$64.57
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$102.33
Typical High
$234.42
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$36.31
Typical High
$60.26
Medica
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$50.12
Typical High
$151.36
Medica
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$19.05
Typical High
$67.61
United
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$36.31
Typical High
$38.02
United
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$31.62
Typical High
$70.79

Where Minnesota 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.

Minnesota· 18th 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.