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Sperm Readiness Test For Male Fertility

North Carolina 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 $27 · 10th–90th $17$1510%20%10th90th$27Professionalmedian $25 · 10th–90th $19$310%20%10th90th$25$20.0$50.0$100.0

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
$25.12
Median
$25.12
Typical High
$69.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$25.12
Typical High
$30.20
BCBS
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$28.18
Typical High
$31.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$69.18
Typical High
$144.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$38.02
Typical High
$47.86
Medcost
Setting
Facility
Modifier
Global
Typical Low
$16.60
Median
$23.44
Typical High
$33.11
Medcost
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$20.42
Typical High
$23.44
United
Setting
Facility
Modifier
Global
Typical Low
$15.85
Median
$31.62
Typical High
$38.02
United
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$15.85
Typical High
$31.62
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36