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Sperm Readiness Test For Male Fertility

New Jersey 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 $42 · 10th–90th $41$2240%20%40%10th90th$42Professionalmedian $25 · 10th–90th $17$390%20%40%10th90th$25$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$40.74
Median
$41.69
Typical High
$190.55
Aetna
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$25.12
Typical High
$41.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$70.79
Typical High
$74.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$38.02
Typical High
$47.86
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$14.79
Typical High
$18.62
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$11,481.54
Typical High
$25,703.96
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$21.88
Typical High
$21.88
United
Setting
Facility
Modifier
Global
Typical Low
$14.79
Median
$31.62
Typical High
$64.57
United
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$19.05
Typical High
$31.62