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Blood Protein Test For Preterm Birth Risk

Virginia 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?

$562

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $562 for this service. The price depends on where it is billed: about $562 from a physician practice, and about $1,122 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 7 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$447 to $631
FacilityA hospital or hospital-owned outpatient department$1,122$631 to $1,862

How much rates vary

Facilitymedian $1,122 · 10th to 90th $537 to $3,981Professionalmedian $562 · 10th to 90th $11 to $871
$10$100$1K$10Kfacility $1,122professional $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
$1,412.54
Typical High
$1,862.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$630.96
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$3,890.45
Typical High
$4,677.35
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$10.72
Typical High
$457.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$1,862.09
Typical High
$3,801.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$870.96
Typical High
$1,071.52
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$891.25
Typical High
$1,122.02
Medcost
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$588.84
Typical High
$891.25
Medcost
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$1,584.89
Sentara
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$933.25
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$933.25
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$758.58
Typical High
$891.25
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$371.54
Typical High
$758.58

Where Virginia 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.

Virginia· 44th of 51

$562

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.