go back

Blood Protein Test For Preterm Birth Risk

Utah 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?

$676

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $676 for this service. The price depends on where it is billed: about $661 from a physician practice, and about $3,631 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 6 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$661$575 to $708
FacilityA hospital or hospital-owned outpatient department$3,631$676 to $3,631

How much rates vary

Facilitymedian $3,631 · 10th to 90th $676 to $4,786Professionalmedian $661 · 10th to 90th $550 to $794
$500$1K$2K$5Kfacility $3,631professional $661

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
$676.08
Median
$3,630.78
Typical High
$4,786.30
Aetna
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$676.08
Typical High
$794.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$776.25
Typical High
$2,089.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$1,071.52
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$870.96
Typical High
$891.25
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$630.96
Typical High
$676.08
Select Health
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$524.81
Select Health
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$758.58
Typical High
$977.24
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$660.69
Typical High
$758.58
United
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$489.78
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$758.58

Where Utah 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.

Utah· 24th of 51

$676

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.