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Blood Protein Test For Preterm Birth Risk

Missouri 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 Missouri, July 2026.

Insurers have agreed to pay about $759 for this service. The price depends on where it is billed: about $646 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 5 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$646$417 to $871
FacilityA hospital or hospital-owned outpatient department$1,175$759 to $1,318

How much rates vary

Facilitymedian $1,175 · 10th to 90th $676 to $1,738Professionalmedian $646 · 10th to 90th $11 to $1,259
$10$50$200$1Kfacility $1,175professional $646

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
$724.44
Median
$1,258.93
Typical High
$1,737.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$724.44
Typical High
$1,258.93
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$512.86
Typical High
$1,202.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$1,584.89
Typical High
$3,890.45
Cigna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$1,071.52
Medica
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$1,318.26
Typical High
$3,548.13
Medica
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$446.68
Typical High
$812.83
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
$891.25

Where Missouri 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.

Missouri· 16th 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.