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Sperm Readiness Test For Male Fertility

Oregon 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 $32 · 10th–90th $32$1070%50%90th$32Professionalmedian $29 · 10th–90th $17$370%20%10th90th$29$10.0$20.0$50.0$100.0

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
$30.20
Median
$141.25
Typical High
$141.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$28.18
Typical High
$37.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$51.29
Typical High
$91.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$36.31
Typical High
$45.71
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$69.18
Typical High
$81.28
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$31.62
Typical High
$38.02
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$34.67
Typical High
$42.66
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$31.62
Typical High
$33.11
Providence
Setting
Facility
Modifier
Global
Typical Low
$16.60
Median
$38.02
Typical High
$83.18
Providence
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$34.67
Typical High
$79.43
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$95.50
Typical High
$123.03
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$28.84
Typical High
$38.02
United
Setting
Facility
Modifier
Global
Typical Low
$14.13
Median
$38.02
Typical High
$50.12
United
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$13.18
Typical High
$38.02