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Blood Protein Test For Preterm Birth Risk

Connecticut rates for HCPCS 0247U

Estimates the chance of giving birth early by measuring two proteins in a pregnant person's blood, IBP4 and SHBG. The protein levels are combined with clinical information about the pregnancy to produce a risk score.

Rates data updated July 2026.

How much does Blood Protein Test For Preterm Birth Risk cost?

$490

Typical negotiated rate. In Connecticut, July 2026.

Insurers have agreed to pay about $490 for this service. The price depends on where it is billed: about $490 from a physician practice, and about $1,072 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 5 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$490$490 to $525
FacilityA hospital or hospital-owned outpatient department$1,072$759 to $1,514

How much rates vary

Facilitymedian $1,072 · 10th to 90th $759 to $1,950Professionalmedian $490 · 10th to 90th $407 to $794
$10$50$200$1Kfacility $1,072professional $490

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
$758.58
Median
$1,023.29
Typical High
$1,698.24
Aetna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$489.78
Typical High
$588.84
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,230.27
Typical High
$2,041.74
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$457.09
Typical High
$933.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$2,238.72
Typical High
$4,265.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$1,071.52
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$446.68
United
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
United
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$691.83
Typical High
$1,318.26

Where Connecticut sits

The same service costs 2.3 times more in North Dakota than in Connecticut. 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.

Connecticut· 51st of 51

$490

ND $1,122CT $490

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.