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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 July 2026.

How much does Sperm Readiness Test For Male Fertility cost?

$53.70

Typical negotiated rate. In North Dakota, July 2026.

Insurers have agreed to pay about $53.70 for this service. Most negotiated rates run $21.88 to $64.57.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $22 · 10th to 90th $22 to $56Professionalmedian $54 · 10th to 90th $22 to $71
$20$50$100facility $22professional $54

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
$21.88
Median
$21.88
Typical High
$56.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$21.88
Typical High
$21.88
BCBS
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$60.26
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

Where North Dakota 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.

North Dakota· 2nd of 51

$53.70

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.