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Sperm Readiness Test For Male Fertility

North Dakota 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 $29 · 10th–90th $22$560%20%40%10th90th$29Professionalmedian $42 · 10th–90th $22$710%10%10th90th$42$10.0$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
$21.88
Median
$28.84
Typical High
$56.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$28.84
Typical High
$38.90
BCBS
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$63.10
Typical High
$70.79
Cigna
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$36.31
Typical High
$45.71
Medica
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$38.02
Typical High
$151.36
Medica
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$16.22
Typical High
$53.70
United
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$31.62
Typical High
$45.71