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Blood Protein Test For Preterm Birth Risk

Pennsylvania 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?

$631

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $631 for this service. The price depends on where it is billed: about $603 from a physician practice, and about $1,445 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$589 to $631
FacilityA hospital or hospital-owned outpatient department$1,445$912 to $1,862

How much rates vary

Facilitymedian $1,445 · 10th to 90th $631 to $2,692Professionalmedian $603 · 10th to 90th $447 to $759
$500$1K$2Kfacility $1,445professional $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
$630.96
Median
$1,445.44
Typical High
$2,691.53
Aetna
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$602.56
Typical High
$707.95
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$588.84
Typical High
$588.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$1,023.29
Typical High
$2,570.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$1,071.52
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$446.68
Typical High
$1,096.48
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$660.69
Typical High
$1,288.25
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$1,584.89
Typical High
$2,691.53
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$602.56
Typical High
$2,187.76
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$831.76
Typical High
$1,862.09
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$758.58
Typical High
$831.76
United
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$758.58
Typical High
$891.25
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$467.74
Typical High
$1,122.02

Where Pennsylvania 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.

Pennsylvania· 27th of 51

$631

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.