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Blood Protein Test For Preterm Birth Risk

Florida 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?

$501

Typical negotiated rate. In Florida, July 2026.

Insurers have agreed to pay about $501 for this service. The price depends on where it is billed: about $490 from a physician practice, and about $1,380 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$490$447 to $525
FacilityA hospital or hospital-owned outpatient department$1,380$676 to $2,138

How much rates vary

Facilitymedian $1,380 · 10th to 90th $513 to $4,074Professionalmedian $490 · 10th to 90th $447 to $603
$200$500$1K$2K$5Kfacility $1,380professional $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
$537.03
Median
$1,819.70
Typical High
$4,073.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$489.78
Typical High
$575.44
AvMed
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
AvMed
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$758.58
Typical High
$758.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$575.44
Typical High
$3,019.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,071.52
Typical High
$3,630.78
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$1,380.38
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$676.08
United
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$676.08
Typical High
$758.58
United
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$316.23
Typical High
$758.58
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$758.58

Where Florida 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.

Florida· 49th of 51

$501

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.