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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 June 2026.

Facilitymedian $83 · 10th–90th $19$1780%10%20%10th90th$83Professionalmedian $24 · 10th–90th $19$480%20%10th90th$24$10.0$20.0$50.0$100.0$200.0

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
$63.10
Median
$83.18
Typical High
$154.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$23.99
Typical High
$37.15
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
$19.05
Typical High
$38.02
United
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$19.05
Typical High
$34.67