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Blood Protein Test For Preterm Birth Risk

North Carolina 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?

$603

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $603 for this service. The price depends on where it is billed: about $603 from a physician practice, and about $646 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$603$537 to $603
FacilityA hospital or hospital-owned outpatient department$646$603 to $1,318

How much rates vary

Facilitymedian $646 · 10th to 90th $447 to $3,548Professionalmedian $603 · 10th to 90th $447 to $676
$500$1K$2Kfacility $646professional $603

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
$602.56
Median
$602.56
Typical High
$1,659.59
Aetna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$602.56
Typical High
$602.56
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$1,659.59
Typical High
$2,398.83
BCBS
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$676.08
Typical High
$758.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$1,949.84
Typical High
$3,388.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$912.01
Typical High
$1,148.15
Medcost
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$602.56
Typical High
$794.33
Medcost
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$562.34
United
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$758.58
Typical High
$891.25
United
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$371.54
Typical High
$758.58
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$3,548.13

Where North Carolina 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.

North Carolina· 34th of 51

$603

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.