go back

Blood Protein Test For Preterm Birth Risk

Vermont 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?

$933

Typical negotiated rate. In Vermont, July 2026.

Insurers have agreed to pay about $933 for this service. The price depends on where it is billed: about $933 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 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$933$933 to $933
FacilityA hospital or hospital-owned outpatient department$759$263 to $1,259

How much rates vary

Facilitymedian $759 · 10th to 90th $263 to $1,259Professionalmedian $933 · 10th to 90th $759 to $933
$500$1K$2K$5Kfacility $759professional $933

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
Professional
Modifier
Global
Typical Low
$933.25
Median
$933.25
Typical High
$933.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,258.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$1,071.52
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$489.78
United
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$263.03
United
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$758.58
Typical High
$1,148.15

Where Vermont 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.

Vermont· 3rd of 51

$933

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.