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Sperm Readiness Test For Male Fertility

Montana 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 $40 · 10th–90th $32$950%20%40%10th90th$40Professionalmedian $29 · 10th–90th $22$950%20%10th90th$29$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
Professional
Modifier
Global
Typical Low
$21.88
Median
$28.84
Typical High
$1,445.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$45.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$45.71
Typical High
$45.71
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$39.81
Typical High
$95.50
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$39.81
Typical High
$95.50
Providence
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$45.71
Providence
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$79.43
Typical High
$85.11
United
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$38.02
Typical High
$38.02
United
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$13.18
Typical High
$31.62