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Blood Protein Test For Preterm Birth Risk

Ohio 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?

$708

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $708 for this service. The price depends on where it is billed: about $603 from a physician practice, and about $1,047 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$603$447 to $759
FacilityA hospital or hospital-owned outpatient department$1,047$759 to $1,660

How much rates vary

Facilitymedian $1,047 · 10th to 90th $631 to $1,820Professionalmedian $603 · 10th to 90th $11 to $1,413
$10$50$200$1K$5Kfacility $1,047professional $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
$707.95
Median
$1,288.25
Typical High
$1,819.70
Aetna
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$1,621.81
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$389.05
Typical High
$1,202.26
CareSource
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$891.25
CareSource
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$11,748.98
Typical High
$20,892.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$912.01
Typical High
$3,801.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$870.96
Typical High
$3,630.78
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$933.25
Typical High
$4,168.69
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$489.78
Molina
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$616.60
Typical High
$1,513.56
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$794.33
Typical High
$1,479.11
United
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$758.58
Typical High
$1,122.02
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$446.68
Typical High
$812.83

Where Ohio 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.

Ohio· 23rd of 51

$708

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.