go back

Sperm Readiness Test For Male Fertility

New York 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 $56 · 10th–90th $27$950%10%10th90th$56Professionalmedian $17 · 10th–90th $4$320%10%20%10th90th$17$2.0$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
$26.92
Median
$60.26
Typical High
$95.50
Aetna
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$23.99
Typical High
$30.20
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.37
Median
$4.37
Typical High
$23.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$44.67
Typical High
$117.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$151.36
Typical High
$151.36
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$52.48
Typical High
$120.23
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$19.05
Typical High
$61.66
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$26.92
Typical High
$35.48
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$60.26
Typical High
$50,118.72
United
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$31.62
Typical High
$42.66
United
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$19.05
Typical High
$47.86
Univera
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$32.36
Typical High
$36.31
Univera
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$30.20
Typical High
$36.31