# Pregnancy blood test panel: what Blue Shield of California pays, by state

The standard set of blood tests done early in pregnancy.

- Insurer: Blue Shield of California
- Billing code: 80055 (Women's health & maternity)
- Price shown: negotiated in-network price, any setting, doctor's fee
- Prices as of: unknown
- 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 | 54 | $42.32 | $42.32 | $42.32 | $95.75 | $330.71 | $47.81 | 0.9x Medicare |
| Alaska | 26 | $42.32 | $42.32 | $44.57 | $122.61 | $305.98 | $47.81 | 0.9x Medicare |
| Arizona | 451 | $42.32 | $42.32 | $52.06 | $121.81 | $330.71 | $47.81 | 1.1x Medicare |
| Arkansas | 64 | $42.32 | $42.32 | $42.32 | $109.22 | $330.71 | $47.81 | 0.9x Medicare |
| California | 108,967 | $33.47 | $42.32 | $42.32 | $123.38 | $963.20 | $47.81 | 0.9x Medicare |
| Colorado | 254 | $42.32 | $42.32 | $43.17 | $91.89 | $330.71 | $47.81 | 0.9x Medicare |
| Connecticut | 125 | $42.32 | $42.32 | $68.71 | $203.25 | $330.71 | $47.81 | 1.4x Medicare |
| Delaware | 22 | $42.32 | $42.32 | $42.32 | $203.25 | $330.71 | $47.81 | 0.9x Medicare |
| District of Columbia | 50 | $42.32 | $42.32 | $66.04 | $203.25 | $330.71 | $47.81 | 1.4x Medicare |
| Florida | 631 | $42.32 | $42.32 | $42.32 | $82.96 | $330.71 | $47.81 | 0.9x Medicare |
| Georgia | 206 | $42.32 | $42.32 | $44.38 | $121.81 | $330.71 | $47.81 | 0.9x Medicare |
| Guam | 7 | $42.32 | $48.77 | $82.96 | $123.38 | $148.16 |  |  |
| Hawaii | 126 | $42.32 | $42.32 | $55.97 | $140.92 | $330.71 | $47.81 | 1.2x Medicare |
| Idaho | 61 | $42.32 | $42.32 | $44.86 | $89.99 | $330.71 | $47.81 | 0.9x Medicare |
| Illinois | 473 | $38.09 | $42.32 | $54.59 | $138.50 | $330.71 | $47.81 | 1.1x Medicare |
| Indiana | 108 | $42.32 | $42.32 | $47.82 | $125.87 | $330.71 | $47.81 | about what Medicare pays |
| Iowa | 46 | $42.32 | $42.32 | $66.04 | $148.16 | $330.71 | $47.81 | 1.4x Medicare |
| Kansas | 45 | $42.32 | $42.32 | $42.32 | $71.08 | $305.98 | $47.81 | 0.9x Medicare |
| Kentucky | 63 | $42.32 | $42.32 | $49.06 | $161.24 | $330.71 | $47.81 | about what Medicare pays |
| Louisiana | 94 | $42.32 | $42.32 | $54.51 | $121.48 | $330.71 | $47.81 | 1.1x Medicare |
| Maine | 31 | $42.32 | $42.32 | $42.32 | $88.65 | $305.98 | $47.81 | 0.9x Medicare |
| Maryland | 182 | $42.32 | $42.32 | $66.04 | $302.64 | $330.71 | $47.81 | 1.4x Medicare |
| Massachusetts | 290 | $42.32 | $42.32 | $138.50 | $330.71 | $330.71 | $47.81 | 2.9x Medicare |
| Michigan | 257 | $42.32 | $42.32 | $55.12 | $128.80 | $330.71 | $47.81 | 1.1x Medicare |
| Minnesota | 329 | $42.32 | $42.32 | $42.32 | $149.67 | $330.71 | $47.81 | 0.9x Medicare |
| Mississippi | 40 | $38.09 | $42.32 | $42.32 | $55.92 | $184.74 | $47.81 | 0.9x Medicare |
| Missouri | 188 | $42.32 | $42.32 | $73.39 | $161.24 | $330.71 | $47.81 | 1.5x Medicare |
| Montana | 41 | $42.32 | $42.32 | $42.32 | $71.78 | $302.64 | $47.81 | 0.9x Medicare |
| Nebraska | 42 | $42.32 | $42.32 | $64.31 | $102.57 | $305.98 | $47.81 | 1.4x Medicare |
| Nevada | 403 | $42.32 | $42.32 | $47.73 | $82.96 | $330.71 | $47.81 | about what Medicare pays |
| New Hampshire | 31 | $42.32 | $42.32 | $71.20 | $129.95 | $305.98 | $47.81 | 1.5x Medicare |
| New Jersey | 179 | $42.32 | $42.32 | $42.32 | $115.13 | $330.71 | $47.81 | 0.9x Medicare |
| New Mexico | 96 | $42.32 | $42.32 | $55.08 | $161.43 | $330.71 | $47.81 | 1.1x Medicare |
| New York | 677 | $42.32 | $42.32 | $54.59 | $161.24 | $330.71 | $47.81 | 1.1x Medicare |
| North Carolina | 173 | $42.32 | $42.32 | $44.22 | $121.81 | $330.71 | $47.81 | 0.9x Medicare |
| North Dakota | 20 | $42.32 | $42.32 | $51.21 | $121.81 | $305.98 | $47.81 | 1.1x Medicare |
| Northern Mariana Islands | 1 | $330.71 | $330.71 | $330.71 | $330.71 | $330.71 |  |  |
| Ohio | 230 | $42.32 | $42.32 | $44.54 | $128.80 | $330.71 | $47.81 | 0.9x Medicare |
| Oklahoma | 71 | $42.32 | $42.32 | $42.32 | $95.75 | $330.71 | $47.81 | 0.9x Medicare |
| Oregon | 277 | $42.32 | $42.32 | $68.85 | $161.24 | $330.71 | $47.81 | 1.4x Medicare |
| Pennsylvania | 385 | $42.32 | $42.32 | $56.33 | $148.16 | $330.71 | $47.81 | 1.2x Medicare |
| Puerto Rico | 11 | $42.32 | $42.32 | $52.84 | $85.43 | $161.43 | $47.81 | 1.1x Medicare |
| Rhode Island | 42 | $42.32 | $42.32 | $127.76 | $309.66 | $330.71 | $47.81 | 2.7x Medicare |
| South Carolina | 79 | $42.32 | $42.32 | $42.32 | $68.85 | $330.71 | $47.81 | 0.9x Medicare |
| South Dakota | 11 | $42.32 | $42.32 | $42.32 | $73.39 | $203.25 | $47.81 | 0.9x Medicare |
| Tennessee | 172 | $42.32 | $42.32 | $44.54 | $132.14 | $330.71 | $47.81 | 0.9x Medicare |
| Texas | 778 | $42.32 | $42.32 | $44.22 | $135.82 | $330.71 | $47.81 | 0.9x Medicare |
| U.S. Virgin Islands | 1 | $42.32 | $42.32 | $42.32 | $42.32 | $42.32 | $47.81 | 0.9x Medicare |
| Utah | 94 | $42.32 | $42.32 | $44.02 | $122.20 | $330.71 | $47.81 | 0.9x Medicare |
| Vermont | 15 | $42.32 | $42.32 | $67.71 | $138.50 | $305.98 | $47.81 | 1.4x Medicare |
| Virginia | 188 | $42.32 | $42.32 | $42.32 | $107.40 | $330.71 | $47.81 | 0.9x Medicare |
| Washington | 459 | $42.32 | $42.32 | $55.86 | $138.50 | $330.71 | $47.81 | 1.2x Medicare |
| West Virginia | 17 | $42.32 | $42.32 | $42.32 | $99.54 | $330.71 | $47.81 | 0.9x Medicare |
| Wisconsin | 147 | $42.32 | $42.32 | $49.09 | $132.14 | $330.71 | $47.81 | about what Medicare pays |
| Wyoming | 10 | $42.32 | $42.32 | $55.74 | $81.18 | $129.96 | $47.81 | 1.2x 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/blueshieldca/statemap_80055_US.html  
About this insurer's data, and its other procedures: [index.md](index.md)