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Blood Protein Test For Preterm Birth Risk

Kentucky 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?

$589

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $589 for this service. The price depends on where it is billed: about $575 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$575$10.72 to $617
FacilityA hospital or hospital-owned outpatient department$759$617 to $1,585

How much rates vary

Facilitymedian $759 · 10th to 90th $617 to $1,820Professionalmedian $575 · 10th to 90th $11 to $759
$10$100$1K$10Kfacility $759professional $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
$616.60
Median
$616.60
Typical High
$1,819.70
Aetna
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$616.60
Typical High
$758.58
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$10.72
Typical High
$10.72
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$10.72
Typical High
$21.38
CareSource
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$13,489.63
Typical High
$46,773.51
CareSource
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,023.29
Typical High
$13,803.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$1,096.48
Typical High
$1,584.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$3,630.78
Typical High
$3,630.78
Molina
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$758.58
Typical High
$891.25
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$446.68
Typical High
$758.58

Where Kentucky 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.

Kentucky· 38th of 51

$589

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.