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Sperm Readiness Test For Male Fertility

South Dakota 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 $29 · 10th–90th $29$360%50%90th$29Professionalmedian $29 · 10th–90th $21$760%20%10th90th$29$20.0$50.0$100.0$200.0$500.0$1.0K$2.0K

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
$28.84
Median
$28.84
Typical High
$36.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$28.84
Typical High
$28.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$60.26
Typical High
$75.86
Medica
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$30.20
Typical High
$151.36
Medica
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$16.22
Typical High
$38.02
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$74.13
Typical High
$87.10
United
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$19.05
Typical High
$41.69
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$31.62
Typical High
$31.62