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Blood Protein Test For Preterm Birth Risk

Washington 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?

$759

Typical negotiated rate. In Washington, July 2026.

Insurers have agreed to pay about $759 for this service. The price depends on where it is billed: about $708 from a physician practice, and about $933 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 8 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$708$676 to $708
FacilityA hospital or hospital-owned outpatient department$933$759 to $1,698

How much rates vary

Facilitymedian $933 · 10th to 90th $759 to $3,388Professionalmedian $708 · 10th to 90th $316 to $871
$500$1K$2K$5Kfacility $933professional $708

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
$707.95
Median
$1,698.24
Typical High
$4,168.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$707.95
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$933.25
Typical High
$2,041.74
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$676.08
Typical High
$794.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$1,584.89
Typical High
$1,949.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$1,071.52
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$831.76
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$1,202.26
Typical High
$2,344.23
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$676.08
Typical High
$933.25
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$1,122.02
Typical High
$2,041.74
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$676.08
Typical High
$758.58
United
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$891.25
Typical High
$891.25
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$758.58
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$389.05
Typical High
$1,348.96

Where Washington 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.

Washington· 19th of 51

$759

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.