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Blood Protein Score For Heart Event Risk

Rhode Island rates for HCPCS 0309U

Estimates a person's risk of a major cardiac event such as a heart attack. Four proteins in a blood plasma sample — NT-proBNP, osteopontin, TIMP-1 and KIM-1 — are measured and combined by a formula into a single risk score. The score is built from those four protein measurements alone, with no clinical details about the patient added in.

Rates data updated July 2026.

How much does Blood Protein Score For Heart Event Risk cost?

$288

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $288 for this service. The price depends on where it is billed: about $288 from a physician practice, and about $1,778 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$288$288 to $288
FacilityA hospital or hospital-owned outpatient department$1,778$1,122 to $1,778

How much rates vary

Facilitymedian $1,778 · 10th to 90th $468 to $1,778Professionalmedian $288 · 10th to 90th $224 to $513
$200$500$1Kfacility $1,778professional $288

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
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$1,778.28
Typical High
$1,778.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$288.40
BCBS
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$467.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$562.34
United
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$549.54
United
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$389.05
Typical High
$562.34

Where Rhode Island sits

The same service costs 2.3 times more in North Dakota than in Nebraska. 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.

Rhode Island· 47th of 51

$288

ND $589NE $257

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.