# Pregnancy blood test panel: what Blue Cross and Blue Shield of North Carolina pays, by state

The standard set of blood tests done early in pregnancy.

- Insurer: Blue Cross and Blue Shield of North Carolina
- Billing code: 80055 (Women's health & maternity)
- Price shown: negotiated in-network price, any setting, doctor's fee
- Prices as of: 2026-09-15
- 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 | 206 | $15.30 | $21.51 | $31.08 | $43.03 | $118.75 | $47.81 | 0.7x Medicare |
| Alaska | 41 | $15.30 | $21.51 | $31.08 | $31.08 | $118.75 | $47.81 | 0.7x Medicare |
| Arizona | 277 | $13.00 | $21.51 | $31.08 | $43.03 | $118.75 | $47.81 | 0.7x Medicare |
| Arkansas | 69 | $15.30 | $21.51 | $31.08 | $31.22 | $118.75 | $47.81 | 0.7x Medicare |
| California | 757 | $13.00 | $23.12 | $31.08 | $43.03 | $118.75 | $47.81 | 0.7x Medicare |
| Colorado | 413 | $15.30 | $21.51 | $31.08 | $31.08 | $118.75 | $47.81 | 0.7x Medicare |
| Connecticut | 179 | $15.30 | $21.51 | $31.08 | $44.18 | $118.75 | $47.81 | 0.7x Medicare |
| Delaware | 50 | $15.30 | $21.51 | $30.91 | $31.08 | $118.75 | $47.81 | 0.7x Medicare |
| District of Columbia | 88 | $15.30 | $21.51 | $31.08 | $70.68 | $118.75 | $47.81 | 0.7x Medicare |
| Florida | 1,698 | $13.00 | $21.51 | $31.08 | $31.08 | $118.75 | $47.81 | 0.7x Medicare |
| Georgia | 819 | $13.00 | $21.51 | $31.08 | $31.08 | $118.75 | $47.81 | 0.7x Medicare |
| Guam | 1 | $21.51 | $21.51 | $21.51 | $21.51 | $21.51 |  |  |
| Hawaii | 62 | $15.30 | $21.51 | $31.08 | $31.22 | $89.79 | $47.81 | 0.7x Medicare |
| Idaho | 44 | $15.30 | $21.51 | $31.08 | $31.22 | $89.79 | $47.81 | 0.7x Medicare |
| Illinois | 427 | $15.30 | $21.51 | $31.08 | $44.18 | $118.75 | $47.81 | 0.7x Medicare |
| Indiana | 227 | $13.00 | $21.51 | $31.08 | $31.64 | $118.75 | $47.81 | 0.7x Medicare |
| Iowa | 75 | $15.30 | $23.66 | $31.64 | $70.68 | $89.79 | $47.81 | 0.7x Medicare |
| Kansas | 74 | $15.30 | $21.51 | $31.08 | $43.03 | $89.79 | $47.81 | 0.7x Medicare |
| Kentucky | 227 | $15.30 | $21.51 | $31.08 | $31.08 | $118.75 | $47.81 | 0.7x Medicare |
| Louisiana | 146 | $15.30 | $21.51 | $31.08 | $34.49 | $118.75 | $47.81 | 0.7x Medicare |
| Maine | 73 | $13.00 | $21.51 | $31.08 | $45.09 | $118.75 | $47.81 | 0.7x Medicare |
| Maryland | 384 | $15.30 | $21.51 | $31.08 | $57.37 | $118.75 | $47.81 | 0.7x Medicare |
| Massachusetts | 367 | $15.30 | $31.08 | $31.08 | $57.37 | $118.75 | $47.81 | 0.7x Medicare |
| Michigan | 388 | $15.30 | $21.51 | $31.08 | $47.81 | $118.75 | $47.81 | 0.7x Medicare |
| Minnesota | 206 | $15.30 | $21.51 | $31.08 | $47.81 | $118.75 | $47.81 | 0.7x Medicare |
| Mississippi | 80 | $15.30 | $21.51 | $31.08 | $31.08 | $89.79 | $47.81 | 0.7x Medicare |
| Missouri | 198 | $15.30 | $21.51 | $31.08 | $70.68 | $89.79 | $47.81 | 0.7x Medicare |
| Montana | 50 | $15.30 | $21.51 | $30.73 | $31.08 | $79.31 | $47.81 | 0.6x Medicare |
| Nebraska | 53 | $15.30 | $21.51 | $31.08 | $44.18 | $89.79 | $47.81 | 0.7x Medicare |
| Nevada | 86 | $15.30 | $30.73 | $31.08 | $40.91 | $89.79 | $47.81 | 0.7x Medicare |
| New Hampshire | 85 | $13.00 | $21.51 | $31.08 | $33.57 | $118.75 | $47.81 | 0.7x Medicare |
| New Jersey | 315 | $13.00 | $23.66 | $31.08 | $31.08 | $118.75 | $47.81 | 0.7x Medicare |
| New Mexico | 72 | $15.30 | $21.51 | $31.08 | $31.08 | $118.75 | $47.81 | 0.7x Medicare |
| New York | 903 | $15.30 | $21.51 | $31.08 | $47.81 | $118.75 | $47.81 | 0.7x Medicare |
| North Carolina | 72,125 | $13.00 | $21.51 | $31.08 | $43.03 | $202.58 | $47.81 | 0.7x Medicare |
| North Dakota | 17 | $15.30 | $21.51 | $31.08 | $31.08 | $89.79 | $47.81 | 0.7x Medicare |
| Ohio | 613 | $15.30 | $21.51 | $31.08 | $44.18 | $118.75 | $47.81 | 0.7x Medicare |
| Oklahoma | 77 | $13.00 | $21.51 | $31.08 | $43.89 | $118.75 | $47.81 | 0.7x Medicare |
| Oregon | 142 | $15.30 | $21.51 | $31.08 | $43.03 | $118.75 | $47.81 | 0.7x Medicare |
| Pennsylvania | 641 | $15.30 | $21.51 | $31.08 | $47.81 | $118.75 | $47.81 | 0.7x Medicare |
| Puerto Rico | 15 | $15.30 | $21.51 | $31.08 | $72.94 | $89.79 | $47.81 | 0.7x Medicare |
| Rhode Island | 60 | $15.30 | $21.51 | $31.08 | $44.18 | $89.79 | $47.81 | 0.7x Medicare |
| South Carolina | 1,624 | $13.00 | $21.51 | $31.08 | $31.08 | $118.75 | $47.81 | 0.7x Medicare |
| South Dakota | 21 | $15.30 | $21.51 | $21.51 | $31.08 | $118.75 | $47.81 | 0.5x Medicare |
| Tennessee | 614 | $15.30 | $21.51 | $31.08 | $31.64 | $118.75 | $47.81 | 0.7x Medicare |
| Texas | 876 | $15.30 | $21.51 | $31.08 | $31.64 | $118.75 | $47.81 | 0.7x Medicare |
| U.S. Virgin Islands | 2 | $21.51 | $23.90 | $26.30 | $28.69 | $31.08 | $47.81 | 0.6x Medicare |
| Utah | 107 | $15.30 | $31.08 | $31.08 | $57.37 | $89.79 | $47.81 | 0.7x Medicare |
| Vermont | 23 | $21.51 | $30.99 | $31.08 | $31.08 | $57.37 | $47.81 | 0.7x Medicare |
| Virginia | 1,370 | $13.00 | $21.51 | $31.08 | $31.08 | $118.75 | $47.81 | 0.7x Medicare |
| Washington | 246 | $13.00 | $21.51 | $31.08 | $44.18 | $118.75 | $47.81 | 0.7x Medicare |
| West Virginia | 138 | $15.30 | $21.51 | $31.08 | $47.81 | $118.75 | $47.81 | 0.7x Medicare |
| Wisconsin | 153 | $15.30 | $21.51 | $31.08 | $70.68 | $118.75 | $47.81 | 0.7x Medicare |
| Wyoming | 23 | $21.51 | $21.51 | $31.08 | $31.08 | $31.08 | $47.81 | 0.7x Medicare |

**“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/bcbsnc/statemap_80055_US.html  
About this insurer's data, and its other procedures: [index.md](index.md)