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Blood Protein Test For Preterm Birth Risk

New York 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 June 2026.

Facilitymedian $1,413 · 10th–90th $631$2,0890%10%20%10th90th$1,413Professionalmedian $447 · 10th–90th $11$8320%10%20%10th90th$447$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$1,412.54
Typical High
$2,089.30
Aetna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$588.84
Typical High
$758.58
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$10.72
Typical High
$758.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$977.24
Typical High
$2,691.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$3,630.78
Typical High
$3,630.78
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$1,230.27
Typical High
$2,884.03
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$446.68
Typical High
$1,445.44
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$707.95
Typical High
$851.14
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$1,412.54
Typical High
$50,118.72
United
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$758.58
Typical High
$1,023.29
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$446.68
Typical High
$1,122.02
Univera
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$758.58
Typical High
$870.96
Univera
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$758.58
Typical High
$870.96