# Pregnancy blood test panel: what Capital BlueCross pays, by state

The standard set of blood tests done early in pregnancy.

- Insurer: Capital BlueCross
- 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 | 28 | $33.64 | $37.29 | $37.29 | $37.29 | $47.81 | $47.81 | 0.8x Medicare |
| Alaska | 5 | $33.64 | $37.29 | $37.29 | $37.29 | $47.81 | $47.81 | 0.8x Medicare |
| Arizona | 77 | $33.64 | $37.29 | $37.29 | $37.29 | $161.30 | $47.81 | 0.8x Medicare |
| Arkansas | 19 | $33.64 | $37.29 | $37.29 | $37.29 | $161.30 | $47.81 | 0.8x Medicare |
| California | 330 | $33.64 | $37.29 | $37.29 | $37.29 | $161.30 | $47.81 | 0.8x Medicare |
| Colorado | 99 | $33.64 | $37.29 | $37.29 | $37.29 | $161.30 | $47.81 | 0.8x Medicare |
| Connecticut | 108 | $33.64 | $37.29 | $37.29 | $37.29 | $161.30 | $47.81 | 0.8x Medicare |
| Delaware | 218 | $33.64 | $37.29 | $37.29 | $37.29 | $110.50 | $47.81 | 0.8x Medicare |
| District of Columbia | 48 | $33.64 | $37.29 | $37.29 | $37.29 | $110.50 | $47.81 | 0.8x Medicare |
| Florida | 540 | $33.64 | $37.29 | $37.29 | $37.29 | $161.30 | $47.81 | 0.8x Medicare |
| Georgia | 135 | $33.64 | $37.29 | $37.29 | $37.29 | $161.30 | $47.81 | 0.8x Medicare |
| Guam | 1 | $37.29 | $37.29 | $37.29 | $37.29 | $37.29 |  |  |
| Hawaii | 26 | $37.29 | $37.29 | $37.29 | $37.29 | $47.81 | $47.81 | 0.8x Medicare |
| Idaho | 16 | $33.64 | $37.29 | $37.29 | $37.29 | $161.30 | $47.81 | 0.8x Medicare |
| Illinois | 168 | $33.64 | $37.29 | $37.29 | $37.29 | $161.30 | $47.81 | 0.8x Medicare |
| Indiana | 49 | $33.64 | $37.29 | $37.29 | $37.29 | $161.30 | $47.81 | 0.8x Medicare |
| Iowa | 24 | $33.64 | $37.29 | $37.29 | $37.29 | $161.30 | $47.81 | 0.8x Medicare |
| Kansas | 26 | $33.64 | $37.29 | $37.29 | $37.29 | $110.50 | $47.81 | 0.8x Medicare |
| Kentucky | 42 | $33.64 | $37.29 | $37.29 | $37.29 | $161.30 | $47.81 | 0.8x Medicare |
| Louisiana | 37 | $33.64 | $37.29 | $37.29 | $37.29 | $161.30 | $47.81 | 0.8x Medicare |
| Maine | 47 | $33.64 | $37.29 | $37.29 | $37.29 | $161.30 | $47.81 | 0.8x Medicare |
| Maryland | 640 | $33.64 | $37.29 | $37.29 | $37.29 | $161.30 | $47.81 | 0.8x Medicare |
| Massachusetts | 159 | $33.64 | $37.29 | $37.29 | $37.29 | $161.30 | $47.81 | 0.8x Medicare |
| Michigan | 122 | $33.64 | $37.29 | $37.29 | $37.29 | $161.30 | $47.81 | 0.8x Medicare |
| Minnesota | 235 | $33.64 | $37.29 | $37.29 | $47.81 | $161.30 | $47.81 | 0.8x Medicare |
| Mississippi | 22 | $37.29 | $37.29 | $37.29 | $37.29 | $161.30 | $47.81 | 0.8x Medicare |
| Missouri | 58 | $33.64 | $37.29 | $37.29 | $37.29 | $161.30 | $47.81 | 0.8x Medicare |
| Montana | 14 | $33.64 | $37.29 | $37.29 | $37.29 | $110.50 | $47.81 | 0.8x Medicare |
| Nebraska | 15 | $37.29 | $37.29 | $37.29 | $45.18 | $110.50 | $47.81 | 0.8x Medicare |
| Nevada | 42 | $37.29 | $37.29 | $37.29 | $37.29 | $161.30 | $47.81 | 0.8x Medicare |
| New Hampshire | 40 | $33.64 | $37.29 | $37.29 | $37.29 | $161.30 | $47.81 | 0.8x Medicare |
| New Jersey | 1,123 | $33.64 | $37.29 | $37.29 | $37.29 | $161.30 | $47.81 | 0.8x Medicare |
| New Mexico | 24 | $33.64 | $37.29 | $37.29 | $37.29 | $161.30 | $47.81 | 0.8x Medicare |
| New York | 710 | $33.64 | $37.29 | $37.29 | $37.29 | $161.30 | $47.81 | 0.8x Medicare |
| North Carolina | 219 | $33.64 | $37.29 | $37.29 | $37.29 | $161.30 | $47.81 | 0.8x Medicare |
| North Dakota | 7 | $37.29 | $37.29 | $37.29 | $110.50 | $161.30 | $47.81 | 0.8x Medicare |
| Ohio | 214 | $33.64 | $37.29 | $37.29 | $37.29 | $161.30 | $47.81 | 0.8x Medicare |
| Oklahoma | 26 | $33.64 | $37.29 | $37.29 | $37.29 | $110.50 | $47.81 | 0.8x Medicare |
| Oregon | 52 | $33.64 | $37.29 | $37.29 | $37.29 | $161.30 | $47.81 | 0.8x Medicare |
| Pennsylvania | 39,722 | $33.64 | $37.29 | $37.29 | $37.29 | $8,639.91 | $47.81 | 0.8x Medicare |
| Puerto Rico | 7 | $37.29 | $37.29 | $37.29 | $47.81 | $161.30 | $47.81 | 0.8x Medicare |
| Rhode Island | 22 | $33.64 | $37.29 | $37.29 | $37.29 | $161.30 | $47.81 | 0.8x Medicare |
| South Carolina | 110 | $33.64 | $37.29 | $37.29 | $37.29 | $161.30 | $47.81 | 0.8x Medicare |
| South Dakota | 8 | $33.64 | $37.29 | $37.29 | $37.29 | $110.50 | $47.81 | 0.8x Medicare |
| Tennessee | 96 | $33.64 | $37.29 | $37.29 | $37.29 | $161.30 | $47.81 | 0.8x Medicare |
| Texas | 323 | $33.64 | $37.29 | $37.29 | $37.29 | $161.30 | $47.81 | 0.8x Medicare |
| Utah | 21 | $37.29 | $37.29 | $37.29 | $37.29 | $110.50 | $47.81 | 0.8x Medicare |
| Vermont | 10 | $33.64 | $37.29 | $37.29 | $37.29 | $37.29 | $47.81 | 0.8x Medicare |
| Virginia | 327 | $33.64 | $37.29 | $37.29 | $37.29 | $161.30 | $47.81 | 0.8x Medicare |
| Washington | 87 | $33.64 | $37.29 | $37.29 | $37.29 | $110.50 | $47.81 | 0.8x Medicare |
| West Virginia | 84 | $33.64 | $37.29 | $37.29 | $37.29 | $110.50 | $47.81 | 0.8x Medicare |
| Wisconsin | 48 | $33.64 | $37.29 | $37.29 | $37.29 | $161.30 | $47.81 | 0.8x Medicare |
| Wyoming | 5 | $37.29 | $37.29 | $37.29 | $37.29 | $37.29 | $47.81 | 0.8x 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/capitalbc/statemap_80055_US.html  
About this insurer's data, and its other procedures: [index.md](index.md)