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Sperm Readiness Test For Male Fertility

Nevada 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?

$25.12

Typical negotiated rate. In Nevada, July 2026.

Insurers have agreed to pay about $25.12 for this service. The price depends on where it is billed: about $24.55 from a physician practice, and about $60.26 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 6 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$24.55$23.44 to $26.92
FacilityA hospital or hospital-owned outpatient department$60.26$26.30 to $170

How much rates vary

Facilitymedian $60 · 10th to 90th $25 to $3,090Professionalmedian $25 · 10th to 90th $19 to $32
$10$100$1K$10Kfacility $60professional $25

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
$24.55
Median
$67.61
Typical High
$9,549.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$24.55
Typical High
$28.18
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$10.23
Median
$26.30
Typical High
$75.86
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.37
Median
$19.05
Typical High
$23.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$37.15
Typical High
$51.29
Cigna
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$36.31
Typical High
$45.71
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$31.62
Typical High
$51.29
Select Health
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$31.62
Typical High
$31.62
Select Health
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
United
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$21.88
Typical High
$47.86
United
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$25.12
Typical High
$40.74

Where Nevada 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.

Nevada· 37th of 51

$25.12

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.