# Pregnancy blood test panel: what AvMed pays, by state

The standard set of blood tests done early in pregnancy.

- Insurer: AvMed
- Billing code: 80055 (Women's health & maternity)
- Price shown: negotiated in-network price, any setting, doctor's fee
- Prices as of: 2026-10-01
- All of the insurer's plans pooled; the map also shows single networks

| State | Providers | Lowest | 25th pct | Median | 75th pct | Highest | Medicare pays | Median vs Medicare |
|---|---|---|---|---|---|---|---|---|
| Alabama | 72 | $37.91 | $37.91 | $47.81 | $47.81 | $57.37 | $47.81 | about what Medicare pays |
| Alaska | 11 | $15.00 | $37.91 | $47.81 | $47.81 | $47.81 | $47.81 | about what Medicare pays |
| Arizona | 82 | $7.50 | $37.91 | $47.81 | $47.81 | $57.37 | $47.81 | about what Medicare pays |
| Arkansas | 25 | $37.91 | $37.99 | $47.81 | $47.81 | $47.81 | $47.81 | about what Medicare pays |
| California | 226 | $7.50 | $38.25 | $47.81 | $47.81 | $57.37 | $47.81 | about what Medicare pays |
| Colorado | 67 | $15.00 | $38.25 | $47.81 | $47.81 | $57.37 | $47.81 | about what Medicare pays |
| Connecticut | 62 | $15.00 | $38.25 | $47.81 | $47.81 | $47.81 | $47.81 | about what Medicare pays |
| Delaware | 16 | $15.00 | $38.25 | $47.81 | $47.81 | $47.81 | $47.81 | about what Medicare pays |
| District of Columbia | 31 | $11.00 | $38.17 | $47.81 | $47.81 | $53.12 | $47.81 | about what Medicare pays |
| Florida | 28,920 | $4.00 | $37.91 | $47.81 | $47.81 | $168.68 | $47.81 | about what Medicare pays |
| Georgia | 245 | $7.50 | $37.91 | $47.81 | $47.81 | $57.37 | $47.81 | about what Medicare pays |
| Guam | 1 | $47.81 | $47.81 | $47.81 | $47.81 | $47.81 |  |  |
| Hawaii | 14 | $37.91 | $38.25 | $47.81 | $47.81 | $47.81 | $47.81 | about what Medicare pays |
| Idaho | 3 | $32.51 | $37.99 | $43.03 | $47.81 | $47.81 | $47.81 | 0.9x Medicare |
| Illinois | 142 | $4.00 | $37.91 | $47.81 | $47.81 | $63.18 | $47.81 | about what Medicare pays |
| Indiana | 80 | $7.50 | $37.91 | $42.08 | $47.81 | $57.37 | $47.81 | 0.9x Medicare |
| Iowa | 11 | $7.50 | $37.91 | $41.31 | $47.81 | $47.81 | $47.81 | 0.9x Medicare |
| Kansas | 17 | $15.00 | $39.68 | $47.81 | $47.81 | $47.81 | $47.81 | about what Medicare pays |
| Kentucky | 68 | $7.50 | $38.08 | $47.81 | $47.81 | $57.37 | $47.81 | about what Medicare pays |
| Louisiana | 45 | $15.00 | $38.25 | $47.81 | $47.81 | $47.81 | $47.81 | about what Medicare pays |
| Maine | 15 | $37.91 | $38.25 | $47.81 | $47.81 | $47.81 | $47.81 | about what Medicare pays |
| Maryland | 96 | $5.00 | $38.25 | $47.81 | $47.81 | $66.93 | $47.81 | about what Medicare pays |
| Massachusetts | 100 | $10.00 | $37.91 | $47.81 | $47.81 | $57.37 | $47.81 | about what Medicare pays |
| Michigan | 131 | $7.50 | $38.08 | $47.81 | $47.81 | $63.18 | $47.81 | about what Medicare pays |
| Minnesota | 131 | $15.00 | $37.91 | $47.81 | $47.81 | $47.81 | $47.81 | about what Medicare pays |
| Mississippi | 29 | $7.50 | $38.08 | $47.81 | $47.81 | $47.81 | $47.81 | about what Medicare pays |
| Missouri | 72 | $7.80 | $37.91 | $47.81 | $47.81 | $54.98 | $47.81 | about what Medicare pays |
| Montana | 7 | $37.91 | $38.25 | $47.81 | $47.81 | $47.81 | $47.81 | about what Medicare pays |
| Nebraska | 9 | $37.91 | $37.91 | $38.25 | $47.81 | $47.81 | $47.81 | 0.8x Medicare |
| Nevada | 37 | $15.00 | $38.08 | $47.81 | $47.81 | $53.55 | $47.81 | about what Medicare pays |
| New Hampshire | 15 | $37.91 | $38.25 | $47.81 | $47.81 | $47.81 | $47.81 | about what Medicare pays |
| New Jersey | 118 | $7.50 | $38.25 | $47.81 | $47.81 | $63.18 | $47.81 | about what Medicare pays |
| New Mexico | 22 | $15.00 | $37.91 | $38.25 | $47.81 | $47.81 | $47.81 | 0.8x Medicare |
| New York | 288 | $4.00 | $38.25 | $47.81 | $47.81 | $57.37 | $47.81 | about what Medicare pays |
| North Carolina | 144 | $15.00 | $38.25 | $47.81 | $47.81 | $63.18 | $47.81 | about what Medicare pays |
| North Dakota | 11 | $37.91 | $37.91 | $41.70 | $47.81 | $47.81 | $47.81 | 0.9x Medicare |
| Ohio | 155 | $7.50 | $38.25 | $47.81 | $47.81 | $57.37 | $47.81 | about what Medicare pays |
| Oklahoma | 24 | $15.00 | $37.91 | $41.70 | $47.81 | $47.81 | $47.81 | 0.9x Medicare |
| Oregon | 32 | $10.00 | $37.91 | $47.81 | $47.81 | $63.18 | $47.81 | about what Medicare pays |
| Pennsylvania | 215 | $10.00 | $38.25 | $47.81 | $47.81 | $63.18 | $47.81 | about what Medicare pays |
| Puerto Rico | 40 | $15.00 | $41.31 | $47.81 | $47.81 | $47.81 | $47.81 | about what Medicare pays |
| Rhode Island | 17 | $15.00 | $37.91 | $47.81 | $47.81 | $47.81 | $47.81 | about what Medicare pays |
| South Carolina | 60 | $15.00 | $37.91 | $47.81 | $47.81 | $57.37 | $47.81 | about what Medicare pays |
| South Dakota | 2 | $37.91 | $37.91 | $38.25 | $47.81 | $47.81 | $47.81 | 0.8x Medicare |
| Tennessee | 100 | $4.00 | $37.91 | $47.81 | $47.81 | $57.37 | $47.81 | about what Medicare pays |
| Texas | 260 | $5.00 | $37.91 | $47.81 | $47.81 | $66.93 | $47.81 | about what Medicare pays |
| U.S. Virgin Islands | 1 | $37.91 | $40.39 | $42.86 | $45.34 | $47.81 | $47.81 | 0.9x Medicare |
| Utah | 16 | $37.91 | $38.17 | $47.81 | $47.81 | $47.81 | $47.81 | about what Medicare pays |
| Vermont | 8 | $15.00 | $38.25 | $47.81 | $47.81 | $47.81 | $47.81 | about what Medicare pays |
| Virginia | 115 | $15.00 | $38.25 | $47.81 | $47.81 | $47.81 | $47.81 | about what Medicare pays |
| Washington | 51 | $7.50 | $37.91 | $47.81 | $47.81 | $57.37 | $47.81 | about what Medicare pays |
| West Virginia | 20 | $15.00 | $37.99 | $47.81 | $47.81 | $47.81 | $47.81 | about what Medicare pays |
| Wisconsin | 46 | $37.91 | $37.91 | $47.81 | $47.81 | $47.81 | $47.81 | about what Medicare pays |
| Wyoming | 2 | $37.91 | $42.86 | $47.81 | $47.81 | $47.81 | $47.81 | about what Medicare pays |

**“x Medicare”** compares each price with what original Medicare pays for the same lab test under its clinical laboratory fee schedule (26CLABQ4, in force from 2026-10-01): one national price, the same in every state. Insurers write their contracts as a share of Medicare, so 1.3x means the insurer pays 30% more than Medicare would; Medicare Advantage plans generally pay close to 1.0x.

Prices are what the insurer has agreed to pay, not what you will be billed. This is a statewide summary: prices vary far more between towns and between practices than these medians suggest, and "providers" counts everyone with a contracted price, not only those who perform the procedure.

Map: https://medicalpricetransparency.netlify.app/insurers/avmed/statemap_80055_US.html  
About this insurer's data, and its other procedures: [index.md](index.md)