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Blood Protein Test For Preterm Birth Risk

Idaho 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?

$776

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $776 for this service. The price depends on where it is billed: about $759 from a physician practice, and about $1,122 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 8 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$759$708 to $1,479
FacilityA hospital or hospital-owned outpatient department$1,122$759 to $1,862

How much rates vary

Facilitymedian $1,122 · 10th to 90th $759 to $2,344Professionalmedian $759 · 10th to 90th $525 to $1,479
$500$1K$2Kfacility $1,122professional $759

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
$1,348.96
Median
$1,949.84
Typical High
$1,949.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$870.96
Typical High
$1,479.11
BCBS
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$1,412.54
Typical High
$2,691.53
BCBS
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$724.44
Typical High
$776.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$1,548.82
Typical High
$2,951.21
Cigna
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$870.96
Typical High
$1,071.52
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$977.24
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$891.25
Molina
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$77.62
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$1,412.54
Typical High
$2,691.53
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$630.96
Typical High
$794.33
Select Health
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$977.24
Select Health
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$758.58

Where Idaho 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.

Idaho· 11th of 51

$776

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.