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Sperm Readiness Test For Male Fertility

Washington 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 $45 · 10th–90th $32$1740%20%10th90th$45Professionalmedian $28 · 10th–90th $21$320%20%40%10th90th$28$10.0$20.0$50.0$100.0$200.0

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
$28.84
Median
$141.25
Typical High
$316.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$25.12
Typical High
$30.20
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$46.77
Typical High
$63.10
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$28.18
Typical High
$33.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$70.79
Typical High
$81.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$36.31
Typical High
$45.71
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$31.62
Typical High
$31.62
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$50.12
Typical High
$97.72
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$28.18
Typical High
$38.02
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$47.86
Typical High
$72.44
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$28.18
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$38.02
Typical High
$38.02
United
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$13.18
Typical High
$31.62
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$16.22
Typical High
$56.23