go back

Sperm Readiness Test For Male Fertility

South Carolina 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 $66 · 10th–90th $22$1510%10%10th90th$66Professionalmedian $25 · 10th–90th $24$370%20%10th90th$25$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
$21.88
Median
$77.62
Typical High
$151.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$25.12
Typical High
$37.15
BCBS
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$33.88
Typical High
$44.67
Cigna
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$79.43
Typical High
$181.97
Cigna
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$36.31
Typical High
$45.71
Medcost
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$26.92
Typical High
$41.69
United
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$31.62
Typical High
$31.62
United
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$19.05
Typical High
$31.62