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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 July 2026.

How much does Blood Protein Test For Preterm Birth Risk cost?

$575

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $575 for this service. The price depends on where it is billed: about $407 from a physician practice, and about $1,318 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 8 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$407$16.60 to $603
FacilityA hospital or hospital-owned outpatient department$1,318$759 to $1,738

How much rates vary

Facilitymedian $1,318 · 10th to 90th $525 to $2,042Professionalmedian $407 · 10th to 90th $11 to $759
$10$50$200$1Kfacility $1,318professional $407

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
$524.81
Median
$1,348.96
Typical High
$2,041.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$630.96
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
$724.44
Typical High
$1,862.09
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
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$724.44
Typical High
$1,548.82
United
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$758.58
Typical High
$933.25
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$446.68
Typical High
$1,096.48
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

Where New York 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.

New York· 41st of 51

$575

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.