go back

Blood Protein Test For Preterm Birth Risk

Tennessee 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?

$589

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $589 for this service. The price depends on where it is billed: about $562 from a physician practice, and about $759 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 5 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$562$562 to $603
FacilityA hospital or hospital-owned outpatient department$759$603 to $2,042

How much rates vary

Facilitymedian $759 · 10th to 90th $447 to $3,548Professionalmedian $562 · 10th to 90th $501 to $759
$200$500$1K$2Kfacility $759professional $562

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
$562.34
Median
$812.83
Typical High
$2,691.53
Aetna
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$630.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$1,348.96
Typical High
$2,137.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$912.01
Typical High
$1,148.15
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$3,548.13
United
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$676.08
Typical High
$758.58
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$446.68
Typical High
$758.58

Where Tennessee 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.

Tennessee· 39th of 51

$589

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.