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Blood Protein Test For Preterm Birth Risk

Illinois 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 Illinois, July 2026.

Insurers have agreed to pay about $776 for this service. The price depends on where it is billed: about $617 from a physician practice, and about $1,096 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$617$575 to $891
FacilityA hospital or hospital-owned outpatient department$1,096$776 to $1,514

How much rates vary

Facilitymedian $1,096 · 10th to 90th $617 to $1,585Professionalmedian $617 · 10th to 90th $447 to $1,549
$200$500$1K$2Kfacility $1,096professional $617

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
$616.60
Median
$1,148.15
Typical High
$1,548.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$616.60
Typical High
$1,548.82
BCBS
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$1,023.29
Typical High
$1,230.27
Cigna
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$1,621.81
Typical High
$3,467.37
Cigna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$912.01
Typical High
$1,148.15
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$977.24
Typical High
$1,348.96
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$977.24
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$1,513.56
United
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$758.58
Typical High
$1,513.56
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$446.68
Typical High
$758.58

Where Illinois 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.

Illinois· 10th 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.