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Sperm Readiness Test For Male Fertility

Nebraska 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?

$22.91

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $22.91 for this service. The price depends on where it is billed: about $20.89 from a physician practice, and about $75.86 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 5 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$20.89$19.05 to $36.31
FacilityA hospital or hospital-owned outpatient department$75.86$22.39 to $141

How much rates vary

Facilitymedian $76 · 10th to 90th $19 to $182Professionalmedian $21 · 10th to 90th $19 to $51
$20$50$100$200facility $76professional $21

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
$22.39
Median
$83.18
Typical High
$154.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$20.89
Typical High
$20.89
BCBS
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$177.83
Typical High
$346.74
BCBS
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$48.98
Typical High
$51.29
Cigna
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$60.26
Typical High
$75.86
Medica
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$20.89
Typical High
$151.36
Medica
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$19.05
Typical High
$34.67
United
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$28.18
Typical High
$31.62
United
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$19.05
Typical High
$63.10

Where Nebraska 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.

Nebraska· 48th of 51

$22.91

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.