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Blood Protein Test For Preterm Birth Risk

West 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?

$617

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $617 for this service. The price depends on where it is billed: about $603 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 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$603$562 to $617
FacilityA hospital or hospital-owned outpatient department$933$617 to $1,122

How much rates vary

Facilitymedian $933 · 10th to 90th $617 to $1,122Professionalmedian $603 · 10th to 90th $372 to $631
$500$1K$2Kfacility $933professional $603

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
$616.60
Median
$933.25
Typical High
$1,122.02
Aetna
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$602.56
Typical High
$630.96
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$1,023.29
CareSource
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$891.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$1,096.48
Typical High
$2,238.72
Cigna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$3,630.78
Typical High
$3,630.78
United
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$870.96
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$338.84
Typical High
$758.58

Where West 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.

West Virginia· 31st of 51

$617

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.