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Blood Protein Test For Preterm Birth Risk

Georgia 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?

$617

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $617 for this service. The price depends on where it is billed: about $603 from a physician practice, and about $759 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$603$501 to $724
FacilityA hospital or hospital-owned outpatient department$759$501 to $1,000

How much rates vary

Facilitymedian $759 · 10th to 90th $21 to $1,175Professionalmedian $603 · 10th to 90th $11 to $759
$10$50$200$1Kfacility $759professional $603

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
$501.19
Median
$602.56
Typical High
$1,380.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$588.84
Typical High
$707.95
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$21.38
Median
$851.14
Typical High
$1,000.00
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$758.58
Typical High
$758.58
CareSource
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$891.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$1,659.59
Typical High
$2,290.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$912.01
Typical High
$1,148.15
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$870.96
Typical High
$977.24
United
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$676.08
Typical High
$758.58
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$446.68
Typical High
$758.58

Where Georgia 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.

Georgia· 33rd of 51

$617

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.