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Blood Protein Test For Preterm Birth Risk

Rhode Island 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?

$550

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $550 for this service. The price depends on where it is billed: about $550 from a physician practice, and about $2,138 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 4 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$550$550 to $550
FacilityA hospital or hospital-owned outpatient department$2,138$871 to $3,388

How much rates vary

Facilitymedian $2,138 · 10th to 90th $794 to $3,388Professionalmedian $550 · 10th to 90th $427 to $977
$500$1K$2Kfacility $2,138professional $550

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$3,388.44
Typical High
$3,388.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$549.54
BCBS
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$870.96
Typical High
$891.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$1,071.52
United
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$1,047.13
United
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$758.58
Typical High
$1,071.52

Where Rhode Island 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.

Rhode Island· 47th of 51

$550

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.