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Blood Protein Test For Preterm Birth Risk

Maryland 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?

$562

Typical negotiated rate. In Maryland, July 2026.

Insurers have agreed to pay about $562 for this service. Most negotiated rates run $490 to $562.

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.

How much rates vary

Facilitymedian $316 · 10th to 90th $316 to $759Professionalmedian $562 · 10th to 90th $339 to $617
$500$1Kfacility $316professional $562

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$562.34
Typical High
$616.60
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$602.56
Typical High
$691.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$1,071.52
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$870.96
Typical High
$1,122.02
United
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$758.58
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$338.84
Typical High
$758.58
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$26.92
Typical High
$1,122.02

Where Maryland 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.

Maryland· 45th of 51

$562

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.