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Sperm Readiness Test For Male Fertility

West Virginia 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 $48 · 10th–90th $25$480%50%10th$48Professionalmedian $24 · 10th–90th $19$370%20%10th90th$24$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
$25.12
Median
$47.86
Typical High
$47.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$23.99
Typical High
$37.15
CareSource
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$42.66
Typical High
$42.66
CareSource
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$38.02
Typical High
$38.02
Cigna
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$50.12
Typical High
$95.50
Cigna
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$151.36
Typical High
$151.36
United
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$13.18
Typical High
$19.05
United
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$14.13
Typical High
$31.62