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Sperm Readiness Test For Male Fertility

Utah 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?

$28.18

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $28.18 for this service. The price depends on where it is billed: about $27.54 from a physician practice, and about $151 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$27.54$23.44 to $28.18
FacilityA hospital or hospital-owned outpatient department$151$28.18 to $151

How much rates vary

Facilitymedian $151 · 10th to 90th $28 to $200Professionalmedian $28 · 10th to 90th $21 to $32
$20$50$100$200facility $151professional $28

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
$28.18
Median
$151.36
Typical High
$199.53
Aetna
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$28.18
Typical High
$33.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$33.11
Typical High
$87.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$36.31
Typical High
$45.71
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$36.31
Typical High
$38.02
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$26.92
Typical High
$28.18
Select Health
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$21.88
Typical High
$21.88
Select Health
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$31.62
Typical High
$40.74
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$27.54
Typical High
$31.62
United
Setting
Facility
Modifier
Global
Typical Low
$15.85
Median
$15.85
Typical High
$20.42
United
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$13.18
Typical High
$31.62

Where Utah 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.

Utah· 26th of 51

$28.18

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.