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Sperm Readiness Test For Male Fertility

Wisconsin 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 $63 · 10th–90th $23$1510%10%20%10th90th$63Professionalmedian $25 · 10th–90th $4$930%10%10th90th$25$2.0$10.0$50.0$200.0$1.0K

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
$37.15
Median
$87.10
Typical High
$87.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$25.12
Typical High
$37.15
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.37
Median
$4.37
Typical High
$109.65
Cigna
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$102.33
Typical High
$162.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$54.95
Typical High
$97.72
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$16.60
Median
$109.65
Typical High
$186.21
Medica
Setting
Facility
Modifier
Global
Typical Low
$16.60
Median
$28.18
Typical High
$151.36
Medica
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$19.05
Typical High
$56.23
Molina
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$31.62
Typical High
$85.11
Network Health
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$38.02
Typical High
$91.20
Network Health
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$31.62
Typical High
$63.10
Quartz
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$72.44
Typical High
$104.71
Quartz
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$151.36
Security Health
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$67.61
Typical High
$67.61
Security Health
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
United
Setting
Facility
Modifier
Global
Typical Low
$15.85
Median
$25.12
Typical High
$38.02
United
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$19.05
Typical High
$56.23