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Blood Protein Test For Preterm Birth Risk

Iowa 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?

$759

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $759 for this service. The price depends on where it is billed: about $575 from a physician practice, and about $1,175 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 7 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$575$490 to $891
FacilityA hospital or hospital-owned outpatient department$1,175$759 to $1,995

How much rates vary

Facilitymedian $1,175 · 10th to 90th $575 to $2,188Professionalmedian $575 · 10th to 90th $447 to $1,622
$500$1K$2Kfacility $1,175professional $575

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
$575.44
Median
$1,778.28
Typical High
$2,187.76
Aetna
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$575.44
Typical High
$575.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,445.44
Typical High
$1,778.28
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$933.25
Typical High
$1,318.26
Medica
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$891.25
Typical High
$1,995.26
Medica
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$1,659.59
Midlands
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,000.00
Typical High
$2,951.21
United
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$1,659.59
United
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$1,621.81
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$758.58
Typical High
$758.58

Where Iowa 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.

Iowa· 20th of 51

$759

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.