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Sperm Readiness Test For Male Fertility

New Mexico 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 $49 · 10th–90th $19$1100%20%10th90th$49Professionalmedian $25 · 10th–90th $13$390%20%10th90th$25$20.0$50.0$100.0$200.0$500.0$1.0K

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
$48.98
Median
$109.65
Typical High
$109.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$25.12
Typical High
$38.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$36.31
Typical High
$45.71
Providence
Setting
Facility
Modifier
Global
Typical Low
$16.60
Median
$30.20
Typical High
$39.81
Providence
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$31.62
Typical High
$31.62
United
Setting
Facility
Modifier
Global
Typical Low
$19.05
Median
$28.18
Typical High
$47.86
United
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$13.18
Typical High
$19.05